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ETHAN HIGGINBOTHAM
NPI 1437846532
Student in an Organized Health Care Education/Training Program in Huntington, WV

Active since April 19, 2023PECOS Enrolled
1115 20TH ST, HUNTINGTON, WV 25703(304) 691-1500(304) 523-4358 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 14, 2025, Jul 26, 2023 (2 updates tracked since 2023).

About Ethan Higginbotham NPPES

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

ETHAN HIGGINBOTHAM (NPI 1437846532) is an individual student in an organized health care education/training program in Huntington, West Virginia and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1437846532
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameETHAN HIGGINBOTHAM
Location Address1115 20TH STHuntington, WV 25703-2071
Mailing Address1115 20th StHuntington, WV 25703-2071 · (304) 691-1500
Phone(304) 691-1500
Fax(304) 523-4358
Sole ProprietorNo
Enumeration DateApril 19, 2023
Last NPPES UpdateMarch 14, 20252 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1437846532 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.
1115 20TH ST, Huntington, WV 25703
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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)

Ethan Higginbotham 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.

DR. MICHAEL S. STINNETT PSYD
Psychologist
1115 20TH ST, SUITE 205
HUNTINGTON, WV 25703
Cabell County (304) 691-1877
DR. TRACY L LEGROW PSY D
Psychologist
1115 20TH ST, SUITE 205
HUNTINGTON, WV 25703
Cabell County (304) 691-1500
DR. JANICE HOSTETTER DO
Psychiatry & Neurology (Psychiatry)
1115 20TH ST, SUITE 205
HUNTINGTON, WV 25703
Cabell County (304) 691-1500
DR. LUCAS BETTERTON DO
Student in an Organized Health Care Education/Training Program
1115 20TH ST
HUNTINGTON, WV 25703
Cabell County (304) 691-1500
TRINA MICHELLE TOOLEY FNP-BC
Nurse Practitioner (Family)
1115 20TH ST, SUITE 101
HUNTINGTON, WV 25703
Cabell County (304) 399-4121
MARYGRACE FATTALEH WATTS APRN-CNP, FNP-BC
Nurse Practitioner
1115 20TH ST
HUNTINGTON, WV 25703
Cabell County (304) 399-4121
JORDAN GAAL DO
Psychiatry & Neurology (Psychiatry)
1115 20TH ST, SUITE 205
HUNTINGTON, WV 25703
Cabell County (304) 691-1500
LYNNE WELCH CFNP
Nurse Practitioner (Family)
1115 20TH ST, SUITE 205
HUNTINGTON, WV 25703
Cabell County (304) 691-1500

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 Ethan Higginbotham's NPI number?

The NPI number for Ethan Higginbotham is 1437846532. It was assigned to this individual provider in the NPPES registry on April 19, 2023.

Where is Ethan Higginbotham located?

Ethan Higginbotham practices at 1115 20th St, Huntington, WV 25703. The listed phone number is (304) 691-1500.

What is Ethan Higginbotham's specialty?

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

Is Ethan Higginbotham enrolled in Medicare?

Yes. Ethan Higginbotham is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Higginbotham was last updated on March 14, 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.