Evan Rose Gray

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

10096 W Fairview Ave Ste 160
Boise, ID 83704-5004

Phone

(208) 908-7882

Fax

(208) 908-7883

NPI assigned

Sep 25, 2026

Last updated

Sep 25, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790294400000",
    "number": "1285547661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10096 W FAIRVIEW AVE STE 160",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045004",
            "telephone_number": "208-908-7882",
            "fax_number": "208-908-7883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10096 W FAIRVIEW AVE STE 160",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045004",
            "telephone_number": "208-908-7882",
            "fax_number": "208-908-7883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "EVAN",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-09-25",
        "last_updated": "2026-09-25",
        "certification_date": "2026-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gray Team LLC (Parkway Dental)
• Tara Gray-Trent
• Abby Lynn Gray, NNP
• Elizabeth Marie Gray, FNP-C
• Erin K. Gray, FNP-BC
• Jennifer Gray, MD
• Jody Gray, LCSW
• Jon R. Gray, D.C.
• Kenton Andrew Gray, BS, MC, LPC
• Laura Gray, MS, LPC

• Social Worker in Boise, ID
• Providers in Boise, ID by specialty
• Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.