Richelle Rae Whitehead, DC

Primary specialty

Pediatric ChiropractorTaxonomy code 111NP0017X

License

CHIA-2045 Issued in ID

Practice address

405 S 8TH St Ste 290
Boise, ID 83702-7100

Phone

(208) 342-7136

NPI assigned

May 19, 2021

Sex

Female

Sole proprietor

Yes

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

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.

• Thrive Counseling LLC

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  • Lynchburg, VA
  • NPI 1215181300
  NPD
• Bodo Chiropractic

  • Chiropractor
  • Boise, ID
  • NPI 1396171187
  NPD (past)

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1245804624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 E JEFFERSON ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837127908",
            "telephone_number": "208-540-0883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 S 8TH ST STE 290",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837027100",
            "telephone_number": "208-342-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITEHEAD",
        "first_name": "RICHELLE",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "ID",
            "license": "CHIA-2045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Senyce White
• Shelby White, PHARMD
• Stephen Patrick White, D.D.S
• Travis Lynn White, D.C.
• Lauren Whiteford, PHARMD
• Mary Whitenack, PT
• Linda Ann Whitener, FAMILY NURSE PRACTIT
• Jackie J Whitesell, MD
• James H Whiteside, MD
• Paul D Whitesides, O.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.