AYANNA GAVRIELLA JACOBS
NPI 1295312866
Student in an Organized Health Care Education/Training Program in Columbus, OH

Q: What is Ayanna Jacobs's NPI number?

The NPI number for Ayanna Jacobs is 1295312866. It was assigned to this individual provider in the NPPES registry on March 28, 2021.

Q: What is Ayanna Jacobs'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 Ayanna Jacobs was last updated on March 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 28, 2021PECOS Enrolled

395 W 12TH AVE, COLUMBUS, OH 43210(614) 293-8701 Get Directions Write a Review

NPPES record last updated: March 28, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ayanna Gavriella Jacobs NPPES

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

AYANNA GAVRIELLA JACOBS (NPI 1295312866) is an individual student in an organized health care education/training program in Columbus, Ohio and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295312866

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameAYANNA GAVRIELLA JACOBS

Location Address395 W 12TH AVEColumbus, OH 43210-1267

Mailing Address395 W 12th AveColumbus, OH 43210-1267

Phone(614) 293-8701

Sole ProprietorNo

Enumeration DateMarch 28, 2021

NPPES CertifiedMarch 28, 2021

✔ NPI 1295312866 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

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.

395 W 12TH AVE, Columbus, OH 43210

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ayanna Gavriella Jacobs 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 20

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

SHACHI SRIVATSA

Student in an Organized Health Care Education/Training Program