Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Katiescarlett Ennis, PA-C

Individual provider Physician Assistant · NPI 1306714258

Katiescarlett Ennis, PA-C is a Physician Assistant in Nashville, Tennessee. Qualified in 2025, 1 year ago. Practices with Vanderbilt University Medical Center, a 3,466-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
1
Licensed in
TN
In the registry since
2025
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3601 The Vanderbilt Clinic
Nashville, TN 37232-0001
Phone: (615) 322-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 719 Thompson Ln, Nashville, TN 37204-3609 — (615) 322-2350
  • 1210 Medical Center Dr, Nashville, TN 37232-0008 — (615) 936-3759

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 6800 (TN)
Physician Assistant Taxonomy 363A00000X · Licence 6800 (TN)

Record details

NPI number1306714258
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedOctober 23, 2025
Last updated in NPPESDecember 4, 2025
Certification dateDecember 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Vanderbilt University Medical Center — 3466 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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