DR. JARED EDDY DPM
NPI 1417842253
Student in an Organized Health Care Education/Training Program in Orlando, FL

Q: What is Jared Eddy's NPI number?

The NPI number for Jared Eddy is 1417842253. It was assigned to this individual provider in the NPPES registry on June 11, 2025.

Q: What is Jared Eddy'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 Jared Eddy was last updated on June 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 11, 2025PECOS Enrolled

7727 LAKE UNDERHILL RD, ORLANDO, FL 32822(403) 303-8683 Get Directions Write a Review

NPPES record last updated: June 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Dr. Jared Eddy Dpm NPPES

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

DR. JARED EDDY DPM (NPI 1417842253) is an individual student in an organized health care education/training program in Orlando, Florida, licensed in Florida (PR873) and active in the NPI registry since June 2025. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417842253

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JARED EDDYCredential: DPM

Location Address7727 LAKE UNDERHILL RDOrlando, FL 32822-8224

Mailing Address7727 Lake Underhill RdOrlando, FL 32822-8224

Phone(403) 303-8683

Sole ProprietorNo

Enumeration DateJune 11, 2025

NPPES CertifiedJune 11, 2025

✔ NPI 1417842253 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 FL · PR873

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.

7727 LAKE UNDERHILL RD, Orlando, FL 32822

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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)

Dr. Jared Eddy Dpm 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.

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