Active NPI
Jeremy E. Ricky
- Transportation Network Company
- Boise, ID
National Provider Identifier
1063360832
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Network Company
- Practice address
- 1111 S Orchard St Ste 219
Boise, ID 83705-1922 - Phone
- (208) 999-1770
- NPI assigned
- Mar 18, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Transportation Network Company | 342000000X | ID | Primary | |
| Private Vehicle | 347C00000X | ID |
Addresses
Primary practice location
1111 S Orchard St Ste 219
Boise, ID 83705-1922
Mailing address
721 S Woodhaven Ave
Meridian, ID 83642-3540
Phone (208) 999-1770
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1773792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774828800000",
"number": "1063360832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "721 S WOODHAVEN AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836423540",
"telephone_number": "208-999-1770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 S ORCHARD ST STE 219",
"city": "BOISE",
"state": "ID",
"postal_code": "837051922",
"telephone_number": "208-999-1770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKY",
"first_name": "JEREMY",
"middle_name": "E.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-03-18",
"last_updated": "2026-03-30",
"certification_date": "2026-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": "ID",
"license": null,
"primary": true
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "ID",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boise, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.