FERNANDA GRAY
NPI 1417659574
Student in an Organized Health Care Education/Training Program in Trinity, FL

Active since March 21, 2023PECOS Enrolled
9330 SR-54 E, TRINITY, FL 34655(727) 834-4000 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fernanda Gray NPPES

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

FERNANDA GRAY (NPI 1417659574) is an individual student in an organized health care education/training program in Trinity, Florida and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417659574
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameFERNANDA GRAY
Location Address9330 SR-54 ETrinity, FL 34655
Mailing Address9330 Sr-54 ETrinity, FL 34655-8403 · (727) 207-7204
Sole ProprietorNo
Enumeration DateMarch 21, 2023
NPPES CertifiedMarch 21, 2023
NPI 1417659574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
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.
9330 SR-54 E, Trinity, FL 34655

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Fernanda Gray 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 3

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
9330 SR-54 E
TRINITY, FL 34655
Student in an Organized Health Care Education/Training Program
9330 SR-54 E
TRINITY, FL 34655
Student in an Organized Health Care Education/Training Program
9330 SR-54 E
TRINITY, FL 34655

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 Fernanda Gray's NPI number?

The NPI number for Fernanda Gray is 1417659574. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Fernanda Gray located?

Fernanda Gray practices at 9330 Sr-54 E, Trinity, FL 34655. The listed phone number is (727) 834-4000.

What is Fernanda Gray's specialty?

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

Is Fernanda Gray enrolled in Medicare?

Yes. Fernanda Gray is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fernanda Gray was last updated on March 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.