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

NICHELLE ENATA MD
NPI 1972974244
Orthopaedic Surgery - Sports Medicine in Belleville, IL

Active since October 13, 2015
4700 MEMORIAL DR STE 340, BELLEVILLE, IL 62226(618) 234-9884(618) 235-9020 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 5, 2026, Jul 9, 2020, Apr 10, 2020 (3 updates tracked since 2020).

About Nichelle Enata Md NPPES

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

NICHELLE ENATA MD (NPI 1972974244) is an individual sports medicine provider in Belleville, Illinois, licensed in Illinois (036178542) and active in the NPI registry since October 2015. She maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1972974244
Entity TypeIndividualFemale
Primary Taxonomy207XX0005X
Provider Legal NameNICHELLE ENATACredential: MD
Location Address4700 MEMORIAL DR STE 340Belleville, IL 62226-5373
Mailing AddressPo Box 959203Saint Louis, MO 63195-9203 · (618) 234-9884 · Fax (618) 235-9020
Fax(618) 235-9020
Sole ProprietorNo
Enumeration DateOctober 13, 2015
Last NPPES UpdateAugust 5, 20263 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
NPI 1972974244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in IL · 036178542
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 2020017990 (MO)
4700 MEMORIAL DR STE 340, Belleville, IL 62226

Other Names 1

Former Name (1)Nichelle Harrison

Secondary Practice Location 1

Location 1660 S Euclid AveSaint Louis, MO 63110-1010 · Phone (314) 747-2835

Other Identifiers 1

Other2020017990MO · Missouri Division Of Professional Registration

Other Providers at the Same Location NPPES 10

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

Orthopaedic Surgery
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 62226
Orthopaedic Surgery
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 62226
Orthopaedic Surgery (Hand Surgery)
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 62226
Physician Assistant
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 62226
Orthopaedic Surgery
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 62226
Orthopaedic Surgery (Sports Medicine)
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 62226
Physician Assistant (Medical)
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 62226
Physical Therapist
4700 MEMORIAL DR STE 340
BELLEVILLE, IL 62226

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 Nichelle Enata's NPI number?

The NPI number for Nichelle Enata is 1972974244. It was assigned to this individual provider in the NPPES registry on October 13, 2015. The provider is also known as Nichelle Harrison.

Where is Nichelle Enata located?

Nichelle Enata practices at 4700 Memorial Dr Ste 340, Belleville, IL 62226. The listed phone number is (618) 234-9884.

What is Nichelle Enata's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

When was this NPI record last updated?

The NPPES record for Nichelle Enata was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.