Jarom Palmer Ray, IDMT
Individual provider Active NPI Independent Duty Medical Technicians · Usafa, CO
NPI 1477348381 · NPPES record last updated Apr 11, 2025
Key facts
- NPI
- 1477348381
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Independent Duty Medical Technicians 1710I1003X
- Practice address
- 4102 Pinion Dr
Usafa, CO 80840-2502 - Phone
- (719) 333-5187
- NPI assigned
- Apr 11, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Independent Duty Medical Technicians | 1710I1003X | Yes |
Addresses
Primary practice location
4102 Pinion Dr
Usafa, CO 80840-2502
Mailing address
4929 W Leighson Ave
Visalia, CA 93291-7860
Phone (559) 302-6969
Other providers in Usafa, CO
All providers in Usafa, CO · Independent Duty Medical Technicians in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.