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

Jared Boothe

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1891680013

Jared Boothe is a Student in an Organized Health Care Education/Training Program in Edgewater, Colorado. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2615 Ingalls St Apt 101
Edgewater, CO 80214-8308
Phone: (520) 475-7720
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1891680013
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 9, 2025
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025
Mailing address2615 Ingalls St Apt 101, Edgewater, CO 80214-8308

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