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JACOB ETHERTON
NPI 1427448224
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since January 31, 2015
8142 GRASSY MEADOW LN, INDIANAPOLIS, IN 46259(317) 513-9282 Get Directions Write a Review

NPPES record last updated: January 31, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jacob Etherton NPPES

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

JACOB ETHERTON (NPI 1427448224) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1427448224
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACOB ETHERTON
Location Address8142 GRASSY MEADOW LNIndianapolis, IN 46259-7721
Mailing Address8142 Grassy Meadow LnIndianapolis, IN 46259-7721
Phone(317) 513-9282
Sole ProprietorNo
Enumeration DateJanuary 31, 2015
✔ NPI 1427448224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
8142 GRASSY MEADOW LN, Indianapolis, IN 46259
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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 Jacob Etherton's NPI number?

The NPI number for Jacob Etherton is 1427448224. It was assigned to this individual provider in the NPPES registry on January 31, 2015.

Where is Jacob Etherton located?

Jacob Etherton practices at 8142 Grassy Meadow Ln, Indianapolis, IN 46259. The listed phone number is (317) 513-9282.

What is Jacob Etherton's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Etherton was last updated on January 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.