JARED BOOTHE
NPI 1891680013
Student in an Organized Health Care Education/Training Program in Edgewater, CO

Active since June 09, 2025
2615 INGALLS ST APT 101, EDGEWATER, CO 80214(520) 475-7720 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jared Boothe NPPES

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

JARED BOOTHE (NPI 1891680013) is an individual student in an organized health care education/training program in Edgewater, Colorado and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1891680013
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJARED BOOTHE
Location Address2615 INGALLS ST APT 101Edgewater, CO 80214-8308
Mailing Address2615 Ingalls St Apt 101Edgewater, CO 80214-8308 · (520) 475-7720
Sole ProprietorNo
Enumeration DateJune 9, 2025
NPPES CertifiedJune 9, 2025
NPI 1891680013 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2615 INGALLS ST APT 101, Edgewater, CO 80214

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 Jared Boothe's NPI number?

The NPI number for Jared Boothe is 1891680013. It was assigned to this individual provider in the NPPES registry on June 9, 2025.

Where is Jared Boothe located?

Jared Boothe practices at 2615 Ingalls St Apt 101, Edgewater, CO 80214. The listed phone number is (520) 475-7720.

What is Jared Boothe's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jared Boothe was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.