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JUSTIN R ENNIS
NPI 1023527314
Emergency Medicine - Sports Medicine in Portales, NM

Active since September 29, 2017
1500 S AVENUE K, PORTALES, NM 88130(760) 525-2087 Get Directions Write a Review

NPPES record last updated: September 29, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Justin R Ennis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN R ENNIS (NPI 1023527314) is an individual sports medicine provider in Portales, New Mexico, licensed in New Mexico (720) and active in the NPI registry since September 2017.

NPPES Registry Identity

NPI1023527314
Entity TypeIndividualMale
Primary Taxonomy207PS0010X
Provider Legal NameJUSTIN R ENNIS
Location Address1500 S AVENUE KPortales, NM 88130-7400
Mailing Address1500 S Avenue K # 17Portales, NM 88130-7400
Phone(760) 525-2087
Sole ProprietorNo
Enumeration DateSeptember 29, 2017
✔ NPI 1023527314 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PS0010X
License✔ Licensed in NM · 720
Definition

An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine.

1500 S AVENUE K, Portales, NM 88130
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Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GABRIELA BACA
Student in an Organized Health Care Education/Training Program
1500 S AVENUE K, STATION 3, SHROC
PORTALES, NM 88130
Roosevelt County (505) 927-8228
JAMES WILLIAM LOVELL
Speech-Language Pathologist
1500 S AVENUE K
PORTALES, NM 88130
Roosevelt County (575) 562-4232
EASTERN NEW MEXICO UNIVERSITY
Speech-Language Pathologist
1500 S AVENUE K
PORTALES, NM 88130
Roosevelt County (972) 367-4845
DESIREE MARIE DURRETT
Student in an Organized Health Care Education/Training Program
1500 S AVENUE K, STATION 3, SHROC
PORTALES, NM 88130
Roosevelt County (575) 562-2160
DR. TARRAH BISCH ED. D.
Specialist/Technologist (Athletic Trainer)
1500 S AVENUE K
PORTALES, NM 88130
Roosevelt County (575) 562-2153
EVELYN BEARDSLEY
Student in an Organized Health Care Education/Training Program
1500 S AVENUE K, STATION 3, SHROC
PORTALES, NM 88130
Roosevelt County (575) 562-2160
BRIANNA LYNN KAUFFMANN LAT, ATC
Specialist/Technologist (Athletic Trainer)
1500 S AVENUE K
PORTALES, NM 88130
Roosevelt County (800) 367-3668
JAREN ANN PIEPKORN
Student in an Organized Health Care Education/Training Program
1500 S AVENUE K, STATION 3 SHROC
PORTALES, NM 88130
Roosevelt County (575) 562-2160

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Ennis's NPI number?

The NPI number for Justin Ennis is 1023527314. It was assigned to this individual provider in the NPPES registry on September 29, 2017.

Where is Justin Ennis located?

Justin Ennis practices at 1500 S Avenue K, Portales, NM 88130. The listed phone number is (760) 525-2087.

What is Justin Ennis's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Sports Medicine, with taxonomy code 207PS0010X.

When was this NPI record last updated?

The NPPES record for Justin Ennis was last updated on September 29, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.