TEVIN SOLOMON UM
NPI 1093517161
Student in an Organized Health Care Education/Training Program in Jacksonville, FL

Active since March 27, 2025PECOS Enrolled
580 W 8TH ST FL 6, JACKSONVILLE, FL 32209(904) 244-4155 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tevin Solomon Um NPPES

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

TEVIN SOLOMON UM (NPI 1093517161) is an individual student in an organized health care education/training program in Jacksonville, Florida and active in the NPI registry since March 2025. The provider is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093517161
Entity TypeIndividual
Primary Taxonomy390200000X
Provider Legal NameTEVIN SOLOMON UM
Location Address580 W 8TH ST FL 6Jacksonville, FL 32209-6533
Mailing Address580 W 8th St Fl 6Jacksonville, FL 32209-6533 · (904) 244-4155
Sole ProprietorNo
Enumeration DateMarch 27, 2025
NPPES CertifiedMarch 26, 2025
NPI 1093517161 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.
580 W 8TH ST FL 6, Jacksonville, FL 32209

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tevin Solomon Um 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 4

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
580 W 8TH ST FL 6
JACKSONVILLE, FL 32209
Nurse Practitioner (Psychiatric/Mental Health)
580 W 8TH ST FL 6
JACKSONVILLE, FL 32209
Student in an Organized Health Care Education/Training Program
580 W 8TH ST FL 6
JACKSONVILLE, FL 32209
Student in an Organized Health Care Education/Training Program
580 W 8TH ST FL 6
JACKSONVILLE, FL 32209

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tevin Um's NPI number?

The NPI number for Tevin Um is 1093517161. It was assigned to this individual provider in the NPPES registry on March 27, 2025.

Where is Tevin Um located?

Tevin Um practices at 580 W 8th St Fl 6, Jacksonville, FL 32209. The listed phone number is (904) 244-4155.

What is Tevin Um's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Tevin Um enrolled in Medicare?

Yes. Tevin Um is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tevin Um was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.