ETHAN BARKLEY
NPI 1740121789
Student in an Organized Health Care Education/Training Program in Charlottesville, VA

Q: What is Ethan Barkley's NPI number?

The NPI number for Ethan Barkley is 1740121789. It was assigned to this individual provider in the NPPES registry on April 3, 2026.

Q: What is Ethan Barkley'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 Ethan Barkley was last updated on April 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 03, 2026PECOS Enrolled

1215 LEE ST # 800744, CHARLOTTESVILLE, VA 22908(434) 924-1931(434) 244-4451 Get Directions Write a Review

NPPES record last updated: April 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Ethan Barkley NPPES

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

ETHAN BARKLEY (NPI 1740121789) is an individual student in an organized health care education/training program in Charlottesville, Virginia and active in the NPI registry since April 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740121789

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameETHAN BARKLEY

Location Address1215 LEE ST # 800744Charlottesville, VA 22908-0816

Mailing Address1215 Lee St # 800744Charlottesville, VA 22908-0816 · (434) 924-1931 · Fax (434) 244-4451

Phone(434) 924-1931

Fax(434) 244-4451

Sole ProprietorNo

Enumeration DateApril 3, 2026

NPPES CertifiedApril 3, 2026

✔ NPI 1740121789 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.

1215 LEE ST # 800744, Charlottesville, VA 22908

Open in Google Maps ↗

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 Barkley 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 15

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

TANYAPORN PATTARABANJIRD

Student in an Organized Health Care Education/Training Program