NPI Portal NPI Lookup & Verification

Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Ms. Tara Rexanne Ennis, MD

Surgery Physician in Fort Walton Beach, FL · enumerated 2006 · practices at Thomas H Moraczewski MD.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700961141

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Registry record

Entity type Individual (Type 1)
Name Ms. Tara Rexanne Ennis
Credential MD
Sex Female
Practice address Fort Walton Beach, FL, 32547
Phone (850) 863-0400
Fax (850) 863-0417
Enumeration date Oct 26, 2006
Last updated in NPPES Jul 7, 2021

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

174400000X Specialist Other Service Providers · License 28214 (AL) Secondary
208600000X Surgery Physician Allopathic & Osteopathic Physicians · License ME121048 (FL) Primary
MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier Type State Issuer
120202 Medicaid AL -
102I028400 Other - M'CARE PROVIDER #

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Tara Ennis practice?
The practice location on file with NPPES is in Fort Walton Beach, FL. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Tara Ennis?
The National Provider Identifier (NPI) for Tara Ennis is 1700961141, a Type 1 (individual) record in the CMS NPPES registry.

Other providers at this practice address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-07-07.