Active NPI
Ethan Martin Jetter, MD, MPH
- Psychiatry Physician
- Aurora, CO
National Provider Identifier
1699619296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- TL.0011239
- Practice address
- 12605 E 16TH Ave Ste 4003
Aurora, CO 80045-2545 - Phone
- (720) 848-0000
- NPI assigned
- Apr 15, 2026
- Last updated
- Apr 15, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | TL.0011239 | CO | Primary |
Addresses
Primary practice location
12605 E 16TH Ave Ste 4003
Aurora, CO 80045-2545
Mailing address
12605 E 16TH Ave Ste 4003
Aurora, CO 80045-2545
Phone (720) 848-0000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TL.0011239 | CO | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1699619296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12605 E 16TH AVE STE 4003",
"city": "AURORA",
"state": "CO",
"postal_code": "800452545",
"telephone_number": "720-848-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12605 E 16TH AVE STE 4003",
"city": "AURORA",
"state": "CO",
"postal_code": "800452545",
"telephone_number": "720-848-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JETTER",
"first_name": "ETHAN",
"middle_name": "MARTIN",
"credential": "MD, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-04-15",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CO",
"license": "TL.0011239",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.