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JAHNAVI ETHAKOTA
NPI 1851086623
Student in an Organized Health Care Education/Training Program in Jackson, MI

Active since April 07, 2023PECOS Enrolled
205 N EAST AVE, JACKSON, MI 49201(517) 205-4800 Get Directions Write a Review

NPPES record last updated: April 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jahnavi Ethakota NPPES

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

JAHNAVI ETHAKOTA (NPI 1851086623) is an individual student in an organized health care education/training program in Jackson, Michigan and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1851086623
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJAHNAVI ETHAKOTA
Location Address205 N EAST AVEJackson, MI 49201-1753
Mailing Address205 N East AveJackson, MI 49201-1753
Phone(517) 205-4800
Sole ProprietorNo
Enumeration DateApril 7, 2023
NPPES CertifiedApril 7, 2023
✔ NPI 1851086623 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.
205 N EAST AVE, Jackson, MI 49201
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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)

Jahnavi Ethakota 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.

SAMANTHA RENE DANEK PA-C
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 788-4811
TERRI LYNN LADWIG ACNP-BC
Nurse Practitioner (Acute Care)
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
SAMANTHA MISHRA DO
Student in an Organized Health Care Education/Training Program
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 788-4800
JOSHUA BOOTH CRNA
Nurse Anesthetist, Certified Registered
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
NADINE BALLOUT MD
Anesthesiology
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4730
MICHELLE WINTERS
Specialist/Technologist (Athletic Trainer)
205 N EAST AVE
JACKSON, MI 49201
Jackson County (517) 205-4800
NINA MARIE BOCK PA-C
Physician Assistant
205 N EAST AVE
JACKSON, MI 49201
Jackson County (248) 990-5924
MRS. CHRISTINE HUFF RDN
Dietitian, Registered
205 N EAST AVE, FOOTE HOSPITAL, NUTRITION SERVICES DEPT.
JACKSON, MI 49201
Jackson County (517) 768-7793

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 Jahnavi Ethakota's NPI number?

The NPI number for Jahnavi Ethakota is 1851086623. It was assigned to this individual provider in the NPPES registry on April 7, 2023.

Where is Jahnavi Ethakota located?

Jahnavi Ethakota practices at 205 N East Ave, Jackson, MI 49201. The listed phone number is (517) 205-4800.

What is Jahnavi Ethakota's specialty?

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

Is Jahnavi Ethakota enrolled in Medicare?

Yes. Jahnavi Ethakota is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jahnavi Ethakota was last updated on April 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.