Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. James Ryan Shackelford, MD

Individual provider Family Medicine Physician · NPI 1639217359

Dr. James Ryan Shackelford, MD is a Family Medicine Physician in Boise, Idaho. Works from 3 locations. Licensed in California and Idaho.

Licensed in
CA, ID
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

777 N Raymond St
Boise, ID 83704
Phone: (208) 514-2500
Fax: (208) 375-2217
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 211 16th Ave N, Nampa, ID 83687-4058 — (208) 467-4431
  • 211 16th Ave N, Nampa, ID 83687-4058 — (208) 467-4431

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence M-13301 (ID)
Family Medicine Physician Taxonomy 207Q00000X · Licence NONE (CA)
Psychiatry Physician Taxonomy 2084P0800X · Licence NONE (CA)

Record details

NPI number1639217359
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 2, 2007
Last updated in NPPESDecember 20, 2023
Certification dateDecember 20, 2023

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