Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Kadian Sasha-Gay Ennis, NURSEPRACTITIONER

Individual provider Family Nurse Practitioner · NPI 1083911408

Mrs. Kadian Sasha-Gay Ennis, NURSEPRACTITIONER is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2018, 8 years ago. Practices with Community Health Care, Inc, a 133-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania.

Years since qualifying
8
Licensed in
PA
In the registry since
2011
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Practice location Address checks out

1401 S 31st St
Philadelphia, PA 19146-3506
Phone: (215) 925-2400
Fax: (215) 925-9162
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 20514 Linden Blvd, Saint Albans, NY 11412-2900 — (718) 528-5493

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence SP021495 (PA)

Record details

NPI number1083911408
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedFebruary 21, 2011
Last updated in NPPESMarch 9, 2020
Certification dateMarch 9, 2020

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Community Health Care, Inc. — 133 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Philadelphia