JAIDA SERENITYRAIN FACKEY NPI 1144199837

NPI Information

  • NPI: 1144199837
  • Provider Name: JAIDA SERENITYRAIN FACKEY
  • Classification: Student in an Organized Health Care Education/Training Program - 390200000X
  • Entity Type: Individual
  • Address: 5386 COX SMITH RD
    MASON, OH
    ZIP 45040
  • Phone: (513) 972-5120

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NPI Details

Jaida Serenityrain Fackey is a student in an organized health care education training program in Mason, OH. The provider is 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. Jaida Serenityrain Fackey NPI is 1144199837. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5386 COX SMITH RD
MASON, OH
ZIP 45040-803
Phone: (513) 972-5120

The enumeration date for this NPI number is 11/1/2025 and was last updated on 11/1/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1390200000XStudent in an Organized Health Care Education/Training ProgramOHIOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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