Jared Andrew Boyle

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

4048 Crestwood Dr
Wausau, WI 54403-8122

Phone

(715) 370-5646

NPI assigned

Jun 10, 2019

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)

Not enrolled

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1235798554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4048 CRESTWOOD DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544038122",
            "telephone_number": "715-370-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4048 CRESTWOOD DR",
            "city": "WAUSAU",
            "state": "WI",
            "postal_code": "544038122",
            "telephone_number": "715-370-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "JARED",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael J Borski, D.C.
• Mollie Bortz, APSW
• Krista Botsford, PA
• Bountiful Beginnings
• William A Bowler, MD
• Bradley Chiropractic & Physical Therapy
• Bradley Physical Therapy
• Barbara C Bradley, D.C., P.T.
• Max Kyle Brainard
• Roy A Brandell, M.D.

• Nutritionist in Wausau, WI
• Providers in Wausau, WI by specialty
• Nutritionist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; 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.