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NPI · 1700961141 · NPPES-sourced

Ms. Tara Ennis MD

ActiveSurgery
NPI Number
1700961141
Type 1 · Individual
Taxonomy Code
208600000X
Contact
(850) 863-0400
License FL · ME121048
Last Updated
Enumerated
Primary practice addressFL · 32547-6645
1042 Mar Walt DrFort Walton Beach, FL 32547-6645
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Also known as

  • Formerly known asHarden, Tara Rexanne

Source: NPPES public registry.

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About this NPIWhat this record shows.

NPI 1700961141 is registered to Ms. Tara Ennis MD, a Surgery practising at 1042 Mar Walt Dr in Fort Walton Beach, Florida. Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Ms. Tara Ennis MD has been enumerated in the National Provider Identifier (NPI) registry since 2006.

Provider type
Individual (Type 1)
Status
Active
Enumerated

Beyond the registryWhat this record adds.

This record carries 2 secondary identifiers beyond the base NPI: Medicaid and other payer cross-references used by billers and credentialers, which the standard CMS NPPES lookup does not surface. It is enrolled in Medicare, linking to 1 PECOS enrollment record (with a public Medicare Enrollment ID) sourced from CMS, which the NPPES registry does not list. Within the directory it is one of 2,739 Surgery providers on file in Florida.

Source: CMS NPPES and PECOS public files. snapshot, refreshed monthly.

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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • 102I028400· Issued by M'CARE PROVIDER #

Source: NPPES public registry.

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Practitioner

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Ms. Tara Ennis MD accepts. To confirm in-network status with your specific health plan, contact Ms. Tara Ennis MD directly at (850) 863-0400.

Frequently asked

Yes. NPI 1700961141 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Surgery is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (850) 863-0400.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Ms. Tara Ennis MD is a Type-1 individual NPI.

As of the latest monthly CMS NPPES snapshot, 2,739 Surgery providers are registered in Florida, and Ms. Tara Ennis MD is one of them. The figure refreshes each month from the federal source.

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Quick facts

Provider typeIndividual
Taxonomy208600000X
Last updated
Enumerated
StatusActive
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Same specialtyOther Surgery providers in Florida.

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