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Search › Idaho › 342000000X

Jeremy Ricky

NPI 1063360832 · on the registry since 2026 · sole proprietor

Practice

Address
1111 S Orchard St Ste 219
Boise, ID 83705
Phone
(208) 999-1770
Organisation at this address
Tdandc Llc
Prov16, Llc
Xpert Care Llc
Toni Sparks, Pa
All Together Now
Inferred from a shared address, not stated in the registry.
Clinicians at this address
62

Registry record

Primary taxonomy
342000000X
342000000X
Also registered as
347C00000X
Licence states on file
ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2026-03-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho