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JAXON VALLELY
NPI 1982231403
Student in an Organized Health Care Education/Training Program in Norfolk, VA

Active since March 25, 2020PECOS Enrolled
358 MOWBRAY ARCH, SUITE #203/205, NORFOLK, VA 23507(757) 668-7249 Get Directions Write a Review

NPPES record last updated: March 25, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Jaxon Vallely NPPES

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

JAXON VALLELY (NPI 1982231403) is an individual student in an organized health care education/training program in Norfolk, Virginia and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982231403
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJAXON VALLELY
Location Address358 MOWBRAY ARCH, SUITE #203/205Norfolk, VA 23507
Mailing Address417 Clover Ln Apt ARaleigh, NC 27604-2055 · (267) 247-2295
Phone(757) 668-7249
Sole ProprietorNo
Enumeration DateMarch 25, 2020
NPPES CertifiedMarch 25, 2020
✔ NPI 1982231403 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.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jaxon Vallely 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.

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 Jaxon Vallely's NPI number?

The NPI number for Jaxon Vallely is 1982231403. It was assigned to this individual provider in the NPPES registry on March 25, 2020.

Where is Jaxon Vallely located?

Jaxon Vallely practices at 358 Mowbray Arch, Suite #203/205, Norfolk, VA 23507. The listed phone number is (757) 668-7249.

What is Jaxon Vallely's specialty?

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

Is Jaxon Vallely enrolled in Medicare?

Yes. Jaxon Vallely is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jaxon Vallely was last updated on March 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.