Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

JORDAN PATRICK RAY
NPI 1922912435
Nurse Practitioner - Psychiatric/Mental Health in Idaho Falls, ID

Q: What is Jordan Ray's NPI number?

The NPI number for Jordan Ray is 1922912435. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Q: What is Jordan Ray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jordan Ray was last updated on October 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 days 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.

Active since October 01, 2026

2065 E 17TH ST STE B, IDAHO FALLS, ID 83404(208) 520-6053 Get Directions Write a Review

NPPES record added: October 4, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Jordan Patrick Ray NPPES

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

JORDAN PATRICK RAY (NPI 1922912435) is an individual psychiatric/mental health provider in Idaho Falls, Idaho, licensed in Idaho (5181639) and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1922912435

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameJORDAN PATRICK RAY

Location Address2065 E 17TH ST STE BIdaho Falls, ID 83404-8042

Mailing Address2065 E 17th St Ste BIdaho Falls, ID 83404-8042 · (208) 520-6053

Phone(208) 520-6053

Sole ProprietorNo

Enumeration DateOctober 1, 2026

Last NPPES UpdateOctober 4, 2026

NPPES CertifiedOctober 4, 2026

✔ NPI 1922912435 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in ID · 5181639

2065 E 17TH ST STE B, Idaho Falls, ID 83404

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CRAIG J DENNY MD

Psychiatry & Neurology (Psychiatry)

2065 E 17TH ST STE B
IDAHO FALLS, ID 83404

Bonneville County (208) 520-6053

CRAIG J DENNY MD PROF CORP

Psychiatry & Neurology (Psychiatry)

2065 E 17TH ST STE B
IDAHO FALLS, ID 83404

Bonneville County (208) 520-6053

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 Jordan Ray's NPI number?

The NPI number for Jordan Ray is 1922912435. It was assigned to this individual provider in the NPPES registry on October 1, 2026.

Where is Jordan Ray located?

Jordan Ray practices at 2065 E 17th St Ste B, Idaho Falls, ID 83404. The listed phone number is (208) 520-6053.

What is Jordan Ray's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Jordan Ray was last updated on October 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 days 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.