Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Tyray M Petty

Case Manager/Care Coordinator in Boise, ID · enumerated 2024.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1891555025

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Registry record

Entity type Individual (Type 1)

Name Tyray M Petty

Sex Male

Practice address 148 S Cole Rd, Boise, ID, 83709

Phone (208) 605-3663

Fax (208) 969-8380

Enumeration date Mar 22, 2024

Last updated in NPPES Nov 4, 2026

Taxonomy & licenses

172V00000X Community Health Worker Other Service Providers Secondary

171M00000X Case Manager/Care Coordinator Other Service Providers Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Is NPI 1891555025 active?

Yes, as of the latest NPPES snapshot, NPI 1891555025 is active (record last updated 2026-11-04).

How do I verify Tyray Petty's NPI record?

Cross-check NPI 1891555025 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-11-04.