JARESE ISIAH EDDIE
NPI 1902697865
Student in an Organized Health Care Education/Training Program in Middletown, CT

Active since May 13, 2025
675 MAIN ST, MIDDLETOWN, CT 06457(860) 347-6971(860) 343-7379 Get Directions Write a Review

NPPES record last updated: May 13, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jarese Isiah Eddie NPPES

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

JARESE ISIAH EDDIE (NPI 1902697865) is an individual student in an organized health care education/training program in Middletown, Connecticut and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1902697865
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJARESE ISIAH EDDIE
Location Address675 MAIN STMiddletown, CT 06457-2732
Mailing Address88 Monroe StHartford, CT 06114-1751
Fax(860) 343-7379
Sole ProprietorNo
Enumeration DateMay 13, 2025
NPPES CertifiedMay 12, 2025
NPI 1902697865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
675 MAIN ST, Middletown, CT 06457

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.

Social Worker (Clinical)
675 MAIN ST
MIDDLETOWN, CT 06457
Social Worker (Clinical)
675 MAIN ST
MIDDLETOWN, CT 06457
Family Medicine
675 MAIN ST
MIDDLETOWN, CT 06457
Student in an Organized Health Care Education/Training Program
675 MAIN ST
MIDDLETOWN, CT 06457
Nurse Practitioner (Family)
675 MAIN ST
MIDDLETOWN, CT 06457
Nurse Practitioner (Family)
675 MAIN ST
MIDDLETOWN, CT 06457
Family Medicine
675 MAIN ST
MIDDLETOWN, CT 06457
Nurse Practitioner (Family)
675 MAIN ST
MIDDLETOWN, CT 06457

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 Jarese Eddie's NPI number?

The NPI number for Jarese Eddie is 1902697865. It was assigned to this individual provider in the NPPES registry on May 13, 2025.

Where is Jarese Eddie located?

Jarese Eddie practices at 675 Main St, Middletown, CT 06457. The listed phone number is (860) 347-6971.

What is Jarese Eddie'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 Jarese Eddie was last updated on May 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.