JACOB LANDRETH
NPI 1679320691
Student in an Organized Health Care Education/Training Program in Grand Rapids, MI

Q: What is Jacob Landreth's NPI number?

The NPI number for Jacob Landreth is 1679320691. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Q: What is Jacob Landreth'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 Jacob Landreth was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 06, 2024

1315 GLADSTONE DR SE, GRAND RAPIDS, MI 49506(616) 890-4298 Get Directions Write a Review

NPPES record last updated: May 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacob Landreth NPPES

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

JACOB LANDRETH (NPI 1679320691) is an individual student in an organized health care education/training program in Grand Rapids, Michigan and active in the NPI registry since May 2024. He maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1679320691

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameJACOB LANDRETH

Location Address1315 GLADSTONE DR SEGrand Rapids, MI 49506-3949

Mailing Address2013 Eastcastle Dr Se Ste BGrand Rapids, MI 49508-8873

Phone(616) 890-4298

Sole ProprietorNo

Enumeration DateMay 6, 2024

NPPES CertifiedMay 6, 2024

✔ NPI 1679320691 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.

1315 GLADSTONE DR SE, Grand Rapids, MI 49506

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Secondary Practice Location 1

Location 12013 Eastcastle Dr SE Ste BGrand Rapids, MI 49508-8873 · Phone (616) 888-1120

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRITTA SAMUELSON FESLER

Licensed Practical Nurse

1315 GLADSTONE DR SE
GRAND RAPIDS, MI 49506

Kent County (989) 295-2828

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 Landreth's NPI number?

The NPI number for Jacob Landreth is 1679320691. It was assigned to this individual provider in the NPPES registry on May 6, 2024.

Where is Jacob Landreth located?

Jacob Landreth practices at 1315 Gladstone Dr SE, Grand Rapids, MI 49506. The listed phone number is (616) 890-4298.

What is Jacob Landreth'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 Landreth was last updated on May 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.