Rebecca L Jergenson, DC, EMT

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-1812 Issued in ID

Practice address

1625 W State St # 100
Boise, ID 83702-4041

Phone

(208) 336-0017

NPI assigned

Nov 27, 2017

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Emergency Medical Technician

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Salmon River Chiropractic Inc.

  • Chiropractor
  • Salmon, ID
  • NPI 1225068059
  Medicare reassignment NPD
• Action Point Physical Therapy LLC

  • Rehabilitation Clinic/Center
  • Sandpoint, ID
  • NPI 1821502204
  NPD (past)
• Dupont Wellness PLLC

  • Physical Therapy Clinic/Center
  • Boise, ID
  • NPI 1861254278
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777507200000",
    "number": "1083128151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 W STATE ST # 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024041",
            "telephone_number": "208-336-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 W STATE ST # 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837024041",
            "telephone_number": "208-336-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERGENSON",
        "first_name": "REBECCA",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DC, EMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-27",
        "last_updated": "2026-04-30",
        "certification_date": "2026-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-1812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy K Jeppesen, L.C.S.W.
• John D Jeppson, MD
• Jessica Jerdin, PA-C
• Jeremy Handy, M.D., PLLC
• Jeremy Toomey, MD PLLC
• Desiree Jerome, LMT
• Susan Jerome, NP
• Kate Jacqueline Jesenko, LMSW
• Jesse Tangen LCSW Counseling PLLC
• Rachel Jessen, LCSW

• Chiropractor in Boise, ID
• Providers in Boise, ID by specialty
• Chiropractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.