Active NPIIndividual provider

Katelyn Jax

Case Manager/Care Coordinator in Rutland, Vermont

NPI Number1073380465
Practice location
78 S Main St, Rutland, VT 05701-4591
Fax
—
Last updated
November 19, 2024

Katelyn Jax is a Case Manager/Care Coordinator based in Rutland, VT. Katelyn Jax practices in Rutland, VT. The NPI Number for Katelyn Jax is 1073380465. The current practice location address for Katelyn Jax is 78 S Main St, Rutland, VT 05701-4591 and can be reached out via phone at 802-775-2381.

Provider Profile Details

NPI Number
1073380465
Provider Name
Katelyn Jax
Provider Entity Type
Individual
Gender
Female
Address
78 S Main St, Rutland, VT 05701-4591
Phone Number
802-775-2381
Primary Taxonomy
Case Manager/Care Coordinator · 171M00000X
Sole Proprietor
No
Provider Enumeration Date
December 6, 2023
Last Update Date
November 19, 2024
Certification Date
November 19, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
78 S Main St
Rutland, VT 05701-4591
State
Vermont
Zip
05701-4591
Phone Number
802-775-2381
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
Po Box 222
Rutland, VT 05702-0222
City
Rutland
State
VT
Zip
05702-0222

License Information

Taxonomy (1)
Peer Specialist · 175T00000X
Taxonomy (2)
Case Manager/Care Coordinator · 171M00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Katelyn Jax?

The NPI number of Katelyn Jax is 1073380465. It was assigned on December 6, 2023 and is currently active in the NPPES registry.

What is the specialty of Katelyn Jax?

Katelyn Jax is registered under the primary taxonomy Case Manager/Care Coordinator (code 171M00000X).

Where does Katelyn Jax practice?

The practice location is 78 S Main St, Rutland, VT 05701-4591. The office can be reached at 802-775-2381 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073380465 directly on the NPPES registry website.

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