RACHEL AUTUMN JETER
NPI 1659959427
Student in an Organized Health Care Education/Training Program in Port St Lucie, FL

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 31, 2021PECOS Enrolled

1800 SE TIFFANY AVE, PORT ST LUCIE, FL 34952(772) 398-3623 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Rachel Autumn Jeter NPPES

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

RACHEL AUTUMN JETER (NPI 1659959427) is an individual student in an organized health care education/training program in Port St Lucie, Florida and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1659959427

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameRACHEL AUTUMN JETER

Location Address1800 SE TIFFANY AVEPort St Lucie, FL 34952-7521

Mailing Address3708 Lifford CirTallahassee, FL 32309-2638 · (850) 570-2247

Phone(772) 398-3623

Sole ProprietorYes

Enumeration DateMarch 31, 2021

NPPES CertifiedMarch 31, 2021

✔ NPI 1659959427 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.

1800 SE TIFFANY AVE, Port St Lucie, FL 34952

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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)

Rachel Autumn Jeter 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.