JADE GRAY
NPI 1881132090
Student in an Organized Health Care Education/Training Program in Dekalb, IL

Active since February 08, 2017
835 EDGEBROOK DR APT 118, DEKALB, IL 60115(708) 368-8223 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jade Gray NPPES

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

JADE GRAY (NPI 1881132090) is an individual student in an organized health care education/training program in Dekalb, Illinois and active in the NPI registry since February 2017.

NPPES Registry Identity

NPI1881132090
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameJADE GRAY
Location Address835 EDGEBROOK DR APT 118Dekalb, IL 60115-1446
Mailing Address835 Edgebrook Dr Apt 118Dekalb, IL 60115-1446
Sole ProprietorYes
Enumeration DateFebruary 8, 2017
NPI 1881132090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
835 EDGEBROOK DR APT 118, Dekalb, IL 60115

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 Gray's NPI number?

The NPI number for Jade Gray is 1881132090. It was assigned to this individual provider in the NPPES registry on February 8, 2017.

Where is Jade Gray located?

Jade Gray practices at 835 Edgebrook Dr Apt 118, Dekalb, IL 60115. The listed phone number is (708) 368-8223.

What is Jade Gray'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 Gray was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.