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DR. DESTANY BROOKE ENNALS DO
NPI 1275337354
Student in an Organized Health Care Education/Training Program in Lumberton, NC

Active since April 01, 2025PECOS Enrolled
300 W 27TH ST, LUMBERTON, NC 28358(910) 735-8786 Get Directions Write a Review

NPPES record last updated: April 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Destany Brooke Ennals Do NPPES

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

DR. DESTANY BROOKE ENNALS DO (NPI 1275337354) is an individual student in an organized health care education/training program in Lumberton, North Carolina and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275337354
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. DESTANY BROOKE ENNALSCredential: DO
Location Address300 W 27TH STLumberton, NC 28358-3075
Mailing Address300 W 27th StLumberton, NC 28358-3075 · (910) 735-8786
Phone(910) 735-8786
Sole ProprietorYes
Enumeration DateApril 1, 2025
Last NPPES UpdateApril 2, 2025
NPPES CertifiedApril 2, 2025
✔ NPI 1275337354 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.
300 W 27TH ST, Lumberton, NC 28358
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Destany Brooke Ennals Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

SOUTHEASTERN REGIONAL MEDICAL CENTER
Anesthesiology (Pain Medicine)
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5290
MADHU SUDAN BHATTARAI
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
ARSLAN FAHIM D.O., M.P.H.
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
SOUTHEASTERN REGIONAL MENTAL HEALTH CENTER
Psychiatric Unit
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 272-1230
AMY L ROBERTS CRNA
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (843) 661-6215
CHARLES A WOOLLEY CRNA
Nurse Anesthetist, Certified Registered
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
ASHLEY GREEN RD, LDN
Dietitian, Registered
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000
MR. HUBERT M CZARNECKI MD
Student in an Organized Health Care Education/Training Program
300 W 27TH ST
LUMBERTON, NC 28358
Robeson County (910) 671-5000

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 Destany Ennals's NPI number?

The NPI number for Destany Ennals is 1275337354. It was assigned to this individual provider in the NPPES registry on April 1, 2025.

Where is Destany Ennals located?

Destany Ennals practices at 300 W 27th St, Lumberton, NC 28358. The listed phone number is (910) 735-8786.

What is Destany Ennals's specialty?

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

Is Destany Ennals enrolled in Medicare?

Yes. Destany Ennals is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Destany Ennals was last updated on April 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.