JADE LAUREN MULVEY
NPI 1124733639
Student in an Organized Health Care Education/Training Program in Chapel Hill, NC

Active since January 18, 2023PECOS Enrolled
590 MANNING DR, CHAPEL HILL, NC 27599(984) 974-0210 Get Directions Write a Review

NPPES record last updated: April 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jade Lauren Mulvey NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JADE LAUREN MULVEY (NPI 1124733639) is an individual student in an organized health care education/training program in Chapel Hill, North Carolina, licensed in Utah (390200000X) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1124733639
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJADE LAUREN MULVEY
Location Address590 MANNING DRChapel Hill, NC 27599-4220
Mailing Address4396 S Ashford DrSalt Lake City, UT 84124-2504 · (801) 755-9140
Sole ProprietorNo
Enumeration DateJanuary 18, 2023
Last NPPES UpdateApril 21, 2025
NPPES CertifiedApril 21, 2025
NPI 1124733639 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
License Licensed in UT · 390200000X
Definition
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.
590 MANNING DR, Chapel Hill, NC 27599

Secondary Practice Location 1

Location 127 S Mario Capecchi DrSalt Lake City, UT 84112-5888 · Phone (801) 755-9140

Other Identifiers 2

Medicaid0213205200UT
OtherUUG900262737UT · Regence Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Jade Lauren Mulvey is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Family Medicine
590 MANNING DR, CB 7586
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Student in an Organized Health Care Education/Training Program
590 MANNING DR
CHAPEL HILL, NC 27599
Preventive Medicine (Public Health & General Preventive Medicine)
590 MANNING DR
CHAPEL HILL, NC 27599
General Practice
590 MANNING DR
CHAPEL HILL, NC 27599
Family Medicine
590 MANNING DR
CHAPEL HILL, NC 27599

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jade Mulvey's NPI number?

The NPI number for Jade Mulvey is 1124733639. It was assigned to this individual provider in the NPPES registry on January 18, 2023.

Where is Jade Mulvey located?

Jade Mulvey practices at 590 Manning Dr, Chapel Hill, NC 27599. The listed phone number is (984) 974-0210.

What is Jade Mulvey's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Jade Mulvey enrolled in Medicare?

Yes. Jade Mulvey is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jade Mulvey was last updated on April 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.