Individual provider Active NPI

Katelyn Jeter, CPO

  • Prosthetist
  • Greensburg, PA
National Provider Identifier
1407768559
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthetistTaxonomy code 224P00000X
License
PO000368 Issued in PA
Practice address
100 S Main St Ste 107&108
Greensburg, PA 15601-3102
Phone
(412) 305-8770
Fax
(720) 206-4004
NPI assigned
Sep 22, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetist 224P00000X PO000368 PA Primary

Addresses

Primary practice location

100 S Main St Ste 107&108
Greensburg, PA 15601-3102

Mailing address

100 S Main St Ste 107&108
Greensburg, PA 15601-3102
Phone (412) 305-8770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1407768559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST STE 107&108",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013102",
            "telephone_number": "412-305-8770",
            "fax_number": "720-206-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S MAIN ST STE 107&108",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156013102",
            "telephone_number": "412-305-8770",
            "fax_number": "720-206-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JETER",
        "first_name": "KATELYN",
        "credential": "CPO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-22",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224P00000X",
            "taxonomy_group": "",
            "desc": "Prosthetist",
            "state": "PA",
            "license": "PO000368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.