Jared Stuckel

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CHIA-2373 Issued in ID

Practice address

1390 S Maple Grove Rd
Boise, ID 83709-1610

Phone

(208) 672-0100

NPI assigned

Sep 27, 2023

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• Rausch Chiropractic PLLC

  • Chiropractor
  • Boise, ID
  • NPI 1730991894
  NPD

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

{
    "created_epoch": "1695772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1114706116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 S MAPLE GROVE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091610",
            "telephone_number": "306-251-2766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 S MAPLE GROVE RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091610",
            "telephone_number": "208-672-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUCKEL",
        "first_name": "JARED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-27",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "ID",
            "license": "CHIA-2373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Kaye Strunk, FDN-P, LMT
• Sally Strunk, PT
• Emily Anne Struthers, DIPL.ABT, LMT.
• Amanda Elizabeth Stubbs, LMSW
• Leslie J Stubbs, M.D.
• Robert V. Studebaker, D.D.S.
• David C Stuesse, MD
• Sadie Briar Stultz
• Susan Kay Stumph, PH.D.
• Austin Sturdivant, PT, DPT

• 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 Sep 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.