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MRS. DANETTA MICHELLE ENNIS MS, ATC, LAT
NPI 1649707779
Specialist/Technologist - Athletic Trainer in Jonesboro, AR

Active since May 19, 2017
1416 E MATTHEWS AVE STE 200, JONESBORO, AR 72401(870) 932-1820(870) 972-6712 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, May 19, 2017 (2 updates tracked since 2017).

About Mrs. Danetta Michelle Ennis Ms, Atc, Lat NPPES

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

MRS. DANETTA MICHELLE ENNIS MS, ATC, LAT (NPI 1649707779) is an individual athletic trainer provider in Jonesboro, Arkansas and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1649707779
Entity TypeIndividualFemale
Primary Taxonomy2255A2300X
Provider Legal NameMRS. DANETTA MICHELLE ENNISCredential: MS, ATC, LAT
Location Address1416 E MATTHEWS AVE STE 200Jonesboro, AR 72401-4362
Mailing Address1416 E Matthews Ave Ste 200Jonesboro, AR 72401-4362 · (870) 932-1820 · Fax (870) 972-6712
Phone(870) 932-1820
Fax(870) 972-6712
Sole ProprietorNo
Enumeration DateMay 19, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1649707779 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
Definition
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.
1416 E MATTHEWS AVE STE 200, Jonesboro, AR 72401
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Other Providers at the Same Location NPPES 2

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

STEPHANIE GAGE APRN
Nurse Practitioner (Family)
1416 E MATTHEWS AVE STE 200
JONESBORO, AR 72401
Craighead County (870) 932-1820
MORGAN LEA BENEFIELD
Family Medicine
1416 E MATTHEWS AVE STE 200
JONESBORO, AR 72401
Craighead County (870) 932-1820

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 Danetta Ennis's NPI number?

The NPI number for Danetta Ennis is 1649707779. It was assigned to this individual provider in the NPPES registry on May 19, 2017.

Where is Danetta Ennis located?

Danetta Ennis practices at 1416 E Matthews Ave Ste 200, Jonesboro, AR 72401. The listed phone number is (870) 932-1820.

What is Danetta Ennis's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Danetta Ennis was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.