JADE NICOLE NICELY MD
NPI 1861239139
Student in an Organized Health Care Education/Training Program in Edgewood, KY

Active since July 12, 2024
413 S LOOP RD, EDGEWOOD, KY 41017(859) 301-3800(859) 301-3987 Get Directions Write a Review

NPPES record last updated: April 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 13, 2026, Jul 12, 2024 (2 updates tracked since 2024).

About Jade Nicole Nicely Md NPPES

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

JADE NICOLE NICELY MD (NPI 1861239139) is an individual student in an organized health care education/training program in Edgewood, Kentucky and active in the NPI registry since July 2024.

NPPES Registry Identity

NPI1861239139
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJADE NICOLE NICELYCredential: MD
Location Address413 S LOOP RDEdgewood, KY 41017-5446
Mailing Address413 S Loop RdEdgewood, KY 41017-5446 · (859) 301-3800 · Fax (859) 301-3987
Fax(859) 301-3987
Sole ProprietorNo
Enumeration DateJuly 12, 2024
Last NPPES UpdateApril 13, 20262 updates tracked since enumeration
NPPES CertifiedApril 13, 2026
NPI 1861239139 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.
413 S LOOP RD, Edgewood, KY 41017

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.

Family Medicine
413 S LOOP RD
EDGEWOOD, KY 41017
Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Social Worker
413 S LOOP RD
EDGEWOOD, KY 41017
Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Student in an Organized Health Care Education/Training Program
413 S LOOP RD
EDGEWOOD, KY 41017
Family Medicine
413 S LOOP RD
EDGEWOOD, KY 41017

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 Nicely's NPI number?

The NPI number for Jade Nicely is 1861239139. It was assigned to this individual provider in the NPPES registry on July 12, 2024.

Where is Jade Nicely located?

Jade Nicely practices at 413 S Loop Rd, Edgewood, KY 41017. The listed phone number is (859) 301-3800.

What is Jade Nicely's specialty?

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

When was this NPI record last updated?

The NPPES record for Jade Nicely was last updated on April 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.