LASHAUNDA RENEE JETHRO PMHNP, DNP
NPI 1497325187
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA
About Lashaunda Renee Jethro Pmhnp, Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LASHAUNDA RENEE JETHRO PMHNP, DNP (NPI 1497325187) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (NP95017852) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Lashaunda Renee Jethro Pmhnp, Dnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92105
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 Lashaunda Jethro's NPI number?
The NPI number for Lashaunda Jethro is 1497325187. It was assigned to this individual provider in the NPPES registry on June 25, 2021.
Where is Lashaunda Jethro located?
Lashaunda Jethro practices at 4290 Polk Ave, San Diego, CA 92105. The listed phone number is (619) 563-0250.
What is Lashaunda Jethro's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Lashaunda Jethro enrolled in Medicare?
Yes. Lashaunda Jethro is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Lashaunda Jethro accept?
Health plans from Providence Health Plan list Lashaunda Jethro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Lashaunda Jethro was last updated on August 5, 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.
# Lashaunda Renee Jethro, PMHNP, DNP · NPI 1497325187
Psychiatric/Mental Health physician in San Diego, California. Individual provider, active in the CMS NPPES registry since June 25, 2021.
## Identity
- **NPI:** 1497325187 (Entity type: Individual)
- **Enumerated:** June 25, 2021
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** NP95017852 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4290 POLK AVE, San Diego, CA 92105-1524
- **Phone:** (619) 563-0250 · **Fax:** (858) 633-4681
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1497325187) · Data from the CMS NPPES public registry.