What is Jered Ethridge's NPI number?

Jered Ethridge's National Provider Identifier (NPI) is 1407412174, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Jered Ethridge's specialty?

Jered Ethridge is listed in the NPPES registry with a primary specialty of Behavior Technician (Behavioral Health & Social Service Providers).

Where is Jered Ethridge located?

Jered Ethridge's practice location on file with NPPES is 2981 Kanell Blvd, Poplar Bluff, MO 63901-4008.

What is Jered Ethridge's phone number?

The practice phone number listed in the NPPES registry for Jered Ethridge is (573) 712-2902.

Is Jered Ethridge's NPI active?

Yes — Jered Ethridge's NPI (1407412174) is active in the NPPES registry as of the last update on 2019-05-17.

IndividualActive

Jered Ethridge

NPI 1407412174 · Behavior Technician · Poplar Bluff, MO

Jered Ethridge is a Behavior Technician provider in Poplar Bluff, MO (NPI 1407412174).

Provider details

NPI number: 1407412174
Entity type: Individual
Primary specialty: Behavior TechnicianBehavioral Health & Social Service Providers
Sex: Male
Sole proprietor: No

Specialties & taxonomies

Behavior TechnicianPrimary106S00000X
Behavioral Health & Social Service Providers

Profile Score

Established profile(60/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
7 yrs in NPPES registry
Profile completeness38% of score
83% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

2981 Kanell Blvd

Poplar Bluff, MO 63901-4008

Phone: (573) 712-2902

Street-level locationGet directions

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Mailing address