OrganizationActive
Ryan Shackelford MD, PLLC
NPI 1447969506 · Psychiatry Physician · Boise, ID
Ryan Shackelford MD, PLLC is a Psychiatry Physician organization in Boise, ID (NPI 1447969506).
Provider details
- NPI number
- 1447969506
- Entity type
- Organization
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- James Shackelford, Psychiatrist(208) 297-3698
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1525 S Owyhee St
Boise, ID 83705-6014
Phone: (208) 297-3698
Fax: (208) 561-8051
Street-level locationGet directions
Mailing address
1525 S Owyhee St
Boise, ID 83705-6014
Registry dates
- Enumerated
- 2022-11-17
- Last updated
- 2022-11-17
- Certified
- 2022-11-17
Frequently asked questions
- What is Ryan Shackelford MD, PLLC's NPI number?
- Ryan Shackelford MD, PLLC's National Provider Identifier (NPI) is 1447969506, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ryan Shackelford MD, PLLC?
- Ryan Shackelford MD, PLLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Ryan Shackelford MD, PLLC located?
- Ryan Shackelford MD, PLLC's practice location on file with NPPES is 1525 S Owyhee St, Boise, ID 83705-6014.
- What is Ryan Shackelford MD, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Ryan Shackelford MD, PLLC is (208) 297-3698.
- Who is the authorized official for Ryan Shackelford MD, PLLC?
- The authorized official listed on Ryan Shackelford MD, PLLC's NPPES record is James Shackelford, Psychiatrist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ryan Shackelford MD, PLLC's NPI active?
- Yes — Ryan Shackelford MD, PLLC's NPI (1447969506) is active in the NPPES registry as of the last update on 2022-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.