Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Grayson Edward Yates, STUDENT

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1154167195

Grayson Edward Yates, STUDENT is a Student in an Organized Health Care Education/Training Program in Saint Joseph, Missouri. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1818 Pat Dr
Saint Joseph, MO 64506-3213
Phone: (615) 743-5850
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1154167195
Entity typeIndividual (Type 1)
GenderMale
Credentials STUDENT
Sole proprietorNo
NPI enumeratedJuly 8, 2024
Last updated in NPPESJuly 8, 2024
Certification dateJuly 8, 2024
Mailing address1818 Pat Dr, Saint Joseph, MO 64506-3213

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