MONIKA JAIN
NPI 1073215869
Student in an Organized Health Care Education/Training Program in Mountain Home, TN

Active since March 17, 2023PECOS Enrolled
178 MAPLE AVE, MOUNTAIN HOME, TN 37684(423) 439-1000 Get Directions Write a Review

NPPES record last updated: March 17, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Monika Jain NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONIKA JAIN (NPI 1073215869) is an individual student in an organized health care education/training program in Mountain Home, Tennessee and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073215869
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMONIKA JAIN
Location Address178 MAPLE AVEMountain Home, TN 37684
Mailing Address6194 Dovecote LnMemphis, TN 38120-4065
Sole ProprietorYes
Enumeration DateMarch 17, 2023
NPPES CertifiedMarch 16, 2023
NPI 1073215869 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

178 MAPLE AVE, Mountain Home, TN 37684

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Monika Jain is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
178 MAPLE AVE
MOUNTAIN HOME, TN 37684

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1073215869, enumerated as an "individual" on March 17, 2023.

The provider is located at 178 MAPLE AVE MOUNTAIN HOME, TN 37684 and the phone number is (423) 439-1000.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.