Jared Boothe

Student in an Organized Health Care Education/Training Program · Edgewater, CO

Individual Active NPI

NPI number 1891680013

Practice location

2615 Ingalls St Apt 101
Edgewater, CO 80214-8308
Phone
(520) 475-7720

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NPI record

NPI
1891680013
Entity type
Individual (Type 1)
Enumeration date
June 9, 2025
Last updated
June 9, 2025
Certified
June 9, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Student in an Organized Health Care Education/Training Program Primary 390200000X — —

About Jared Boothe

Jared Boothe is a healthcare provider registered in the NPI registry with the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X). The practice location is 2615 Ingalls St Apt 101, Edgewater, CO 80214-8308. The NPI number 1891680013 was assigned on June 9, 2025 and the record was last updated on June 9, 2025.

Frequently asked questions

What is the NPI number of Jared Boothe?

The NPI number is 1891680013.

What is the phone number of Jared Boothe?

The phone number listed for the practice location is (520) 475-7720.

Where is Jared Boothe located?

2615 Ingalls St Apt 101, Edgewater, CO 80214-8308.

What is the taxonomy code for Jared Boothe?

The primary taxonomy code is 390200000X – Student in an Organized Health Care Education/Training Program.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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