Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JAYA IMAN HARRELL DO
NPI 1255279535
Student in an Organized Health Care Education/Training Program in Seattle, WA

Q: What is Jaya Harrell's NPI number?

The NPI number for Jaya Harrell is 1255279535. It was assigned to this individual provider in the NPPES registry on March 25, 2026.

Q: What is Jaya Harrell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jaya Harrell was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.

Active since March 25, 2026PECOS Enrolled

125 16TH AVE E # CHS545, SEATTLE, WA 98112(206) 326-3585 Get Directions Write a Review

NPPES record last updated: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 31, 2026, Mar 25, 2026 (2 updates tracked since 2026).

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About Dr. Jaya Iman Harrell Do NPPES

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

DR. JAYA IMAN HARRELL DO (NPI 1255279535) is an individual student in an organized health care education/training program in Seattle, Washington, licensed in Washington (DOL.OL.70119183) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS and maintains a secondary practice location in Burien.

NPPES Registry Identity

NPI1255279535

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameDR. JAYA IMAN HARRELLCredential: DO

Location Address125 16TH AVE E # CHS545Seattle, WA 98112-5211

Mailing Address125 16th Ave E, Chs 545Seattle, WA 98112-5211 · (800) 562-6300 · Fax (877) 515-2975

Phone(206) 326-3585

Sole ProprietorYes

Enumeration DateMarch 25, 2026

Last NPPES UpdateAugust 31, 20262 updates tracked since enumeration

NPPES CertifiedAugust 31, 2026

✔ NPI 1255279535 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in WA · DOL.OL.70119183

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.

125 16TH AVE E # CHS545, Seattle, WA 98112

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Secondary Practice Location 1

Location 1140 SW 146th StBurien, WA 98166-1912 · Phone (206) 630-3000

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jaya Iman Harrell Do 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 12

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

DR. EPIPHANY LOTOTELE NICK MD