Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LISA M ENNIS NP
NPI 1174510242
Nurse Practitioner in New Hartford, NY

Q: What is Lisa Ennis's NPI number?

The NPI number for Lisa Ennis is 1174510242. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Q: What is Lisa Ennis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Ennis was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 04, 2005

1729 BURRSTONE RD, NEW HARTFORD, NY 13413(315) 798-1700(315) 798-1707 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lisa M Ennis Np NPPES

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

LISA M ENNIS NP (NPI 1174510242) is an individual nurse practitioner in New Hartford, New York, licensed in New York (330969) and active in the NPI registry since October 2005.

NPPES Registry Identity

NPI1174510242

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameLISA M ENNISCredential: NP

Location Address1729 BURRSTONE RDNew Hartford, NY 13413-1001

Mailing Address1729 Burrstone RdNew Hartford, NY 13413-1001 · (315) 798-1700 · Fax (315) 798-1707

Phone(315) 798-1700

Fax(315) 798-1707

Sole ProprietorNo

Enumeration DateOctober 4, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1174510242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in NY · 330969

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1729 BURRSTONE RD, New Hartford, NY 13413

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Other Identifiers 1

Medicaid02326832NY

Other Providers at the Same Location NPPES 20

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

LYNN LUTHERN PA

Physician Assistant (Medical)

1729 BURRSTONE RD
NEW HARTFORD, NY 13413

Oneida County (315) 798-1859

AMELA THOMPSON

Nurse Practitioner (Family)

1729 BURRSTONE RD
NEW HARTFORD, NY 13413

Oneida County (315) 798-1808

MS. KAREN WARNER NP

Nurse Practitioner

1729 BURRSTONE RD
NEW HARTFORD, NY 13413

Oneida County (315) 798-1543

DR. DAYAL DAVIS RAJA M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1729 BURRSTONE RD, SLOCUM-DICKSON MEDICAL GROUP
NEW HARTFORD, NY 13413

Oneida County (315) 798-1700

MELANIE PADMANABHAN FNP

Nurse Practitioner (Family)

1729 BURRSTONE RD
NEW HARTFORD, NY 13413

Oneida County (315) 798-1551

MICHAEL JOSEPH MCNULTY M.D.

Pain Medicine (Pain Medicine)

1729 BURRSTONE RD
NEW HARTFORD, NY 13413

Oneida County (315) 798-1747

DR. GAIL JOHNSON M.D.

Internal Medicine

1729 BURRSTONE RD
NEW HARTFORD, NY 13413

Oneida County (315) 798-1700

SUZANNE W BUSCHOR PT

Physical Therapist

1729 BURRSTONE RD
NEW HARTFORD, NY 13413

Oneida County (315) 798-1700

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 Lisa Ennis's NPI number?

The NPI number for Lisa Ennis is 1174510242. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Lisa Ennis located?

Lisa Ennis practices at 1729 Burrstone Rd, New Hartford, NY 13413. The listed phone number is (315) 798-1700.

What is Lisa Ennis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Lisa Ennis was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 42 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.