Amy Luckett Enis, PMHNP - Nurse Practitioner in Los Angeles, CA

Amy Luckett Enis, PMHNP is a Nurse Practitioner - Psychiatric/mental Health based in Los Angeles, California. Amy Luckett Enis is licensed to practice in California (license number 95007447) and her current practice location is 12011 San Vicente Blvd Ste 305a, Los Angeles, California. She can be reached at her office (for appointments etc.) via phone at (747) 212-3876.

NPI number for Amy Luckett Enis is 1194273565 and her current mailing address is 5206 Founders Way Ct, Houston, Texas. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194273565.

Contact Information

Amy Luckett Enis, PMHNP
12011 San Vicente Blvd Ste 305a,
Los Angeles, CA 90049-4944
(747) 212-3876
Not Available

Map and Direction




Provider's Profile

Full NameAmy Luckett Enis
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location12011 San Vicente Blvd Ste 305a, Los Angeles, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194273565
  • Provider Enumeration Date: 09/14/2016
  • Last Update Date: 07/03/2024

Medical Identifiers

Medical identifiers for Amy Luckett Enis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194273565NPI-NPPES
00026834MedicaidMS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health AP141672 (Texas)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61413619 (Washington)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95007447 (California)Primary
363LP0808XNurse Practitioner - Psychiatric/mental Health 901683 (Mississippi)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Luckett Enis is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amy Luckett Enis, PMHNP
5206 Founders Way Ct,
Houston, TX 77091-5654

Ph: (662) 645-2386
Amy Luckett Enis, PMHNP
12011 San Vicente Blvd Ste 305a,
Los Angeles, CA 90049-4944

Ph: (747) 212-3876

Reviews and Comments


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