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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

AMANDA KIMBERLY ENNIS
NPI 1184530636
Student in an Organized Health Care Education/Training Program in Orlando, FL

Active since August 24, 2026
9975 TAVISTOCK LAKES BLVD, ORLANDO, FL 32827(407) 266-1126 Get Directions Write a Review

NPPES record added: August 24, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Amanda Kimberly Ennis NPPES

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

AMANDA KIMBERLY ENNIS (NPI 1184530636) is an individual student in an organized health care education/training program in Orlando, Florida and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1184530636
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameAMANDA KIMBERLY ENNIS
Location Address9975 TAVISTOCK LAKES BLVDOrlando, FL 32827-7664
Mailing Address14037 Benvolio Cir Unit 203Orlando, FL 32824-5195
Phone(407) 266-1126
Sole ProprietorNo
Enumeration DateAugust 24, 2026
NPPES CertifiedAugust 23, 2026
✔ NPI 1184530636 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
9975 TAVISTOCK LAKES BLVD, Orlando, FL 32827
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Other Names 1

Other Name (5)Mandy Ennis

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.

FLORIDA RADIOLOGY IMAGING AT LAKE MARY, LLC
Radiology (Diagnostic Radiology)
9975 TAVISTOCK LAKES BLVD, SUITE 120
ORLANDO, FL 32827
Orange County (407) 200-2865
KENDALL COX
Student in an Organized Health Care Education/Training Program
9975 TAVISTOCK LAKES BLVD
ORLANDO, FL 32827
Orange County (407) 266-1126
MEREDITH GRACE HEMMINGS
Student in an Organized Health Care Education/Training Program
9975 TAVISTOCK LAKES BLVD
ORLANDO, FL 32827
Orange County (407) 266-1126
HAYDEN RUNNELLS
Student in an Organized Health Care Education/Training Program
9975 TAVISTOCK LAKES BLVD
ORLANDO, FL 32827
Orange County (407) 266-1126
DELANEY MARIE MCDERMOTT
Student in an Organized Health Care Education/Training Program
9975 TAVISTOCK LAKES BLVD
ORLANDO, FL 32827
Orange County (407) 266-1126
ZOUNAIRA SHAHZAD
Student in an Organized Health Care Education/Training Program
9975 TAVISTOCK LAKES BLVD
ORLANDO, FL 32827
Orange County (407) 266-1126
MS. SARAH FATIMA KHAN
Student in an Organized Health Care Education/Training Program
9975 TAVISTOCK LAKES BLVD
ORLANDO, FL 32827
Orange County (407) 266-1126
BRADLEY RICHEY
Student in an Organized Health Care Education/Training Program
9975 TAVISTOCK LAKES BLVD
ORLANDO, FL 32827
Orange County (407) 266-3627

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 Amanda Ennis's NPI number?

The NPI number for Amanda Ennis is 1184530636. It was assigned to this individual provider in the NPPES registry on August 24, 2026. The provider is also known as Mandy Ennis.

Where is Amanda Ennis located?

Amanda Ennis practices at 9975 Tavistock Lakes Blvd, Orlando, FL 32827. The listed phone number is (407) 266-1126.

What is Amanda Ennis's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Amanda Ennis was last updated on August 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.