HEALTHY HABITS WELLNESS CLINIC INC (NPI# 1114299666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1114299666 |
Entity Type | Organization |
Organization Name | HEALTHY HABITS WELLNESS CLINIC INC |
Practice Address |
14 S Baltic Pl Meridian ID 83642-5935 |
Mailing Address |
2980 N Beverly Glen Cir Suite 301 Los Angeles CA 90077-1726 |
Practice Telephone | 2088874872 |
Mailing Telephone | 3104749809 |
Enumeration Date | 2012-01-30 |
Last Update Date | 2012-02-16 |
Authorized Official Name | MARI AITKEN (MEDICAL PRACTITIONER) |
Authorized Official Telephone | 2084548111 |
Authorized Official Credential | NP |
Is Organization Subpart | Y |
Parent Organization Name | HEALTHY HABITS WELLNESS CLINIC INC |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 332900000X | Non-Pharmacy Dispensing Site | Suppliers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336273267 | Healthy Habits Wellness Clinic Inc | Chiropractor | 27 E. Fairview Ave, Meridian, ID 83642-1722 | 2007-03-15 |
1114290566 | Healthy Habits Wellness Clinic Inc | Non-Pharmacy Dispensing Site | 5216 Cleveland Blvd, Caldwell, ID 83607-8123 | 2012-02-15 |
Street Address |
14 S BALTIC PL |
City | MERIDIAN |
State | ID |
Zip Code | 83642-5935 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629334651 | Susan L Ralph | Nurse Practitioner | 14 S Baltic Pl, Suite 106, Meridian, ID 83642-5935 | 2012-04-04 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
Find all providers in zip 83642 |
Taxonomy Code | 332900000X |
Grouping | Suppliers |
Classification | Non-Pharmacy Dispensing Site |
A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.) |
Notes: Source: Developed by National Council for Prescription Drug Programs (NCPDP), National Home Infusion Association (NHIA), and Pharmacist Services Technical Advisory Coalition (PSTAC) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164433678 | Meridian Oncology Associates Pllc | Non-Pharmacy Dispensing Site | 1704 23rd Ave, 2nd Flr, Meridian, MS 39301-3103 | 2006-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912307885 | Mederx, LLC | Non-Pharmacy Dispensing Site | 922 W Colchester Dr, Eagle, ID 83616-5892 | 2014-08-28 |
1821342247 | Madison Memorial Hospital | Non-Pharmacy Dispensing Site | 450 E Main St, Rexburg, ID 83440-2048 | 2012-11-07 |
1114290566 | Healthy Habits Wellness Clinic Inc | Non-Pharmacy Dispensing Site | 5216 Cleveland Blvd, Caldwell, ID 83607-8123 | 2012-02-15 |
1598035917 | P. Roman Burk Dpm, PC | Non-Pharmacy Dispensing Site | 1818 S 10th Ave, Suite 250, Caldwell, ID 83605-4803 | 2012-01-02 |
1649556325 | Pain Center, Inc. | Non-Pharmacy Dispensing Site | 1673 W Shoreline Dr, Ste 140, Boise, ID 83702-6750 | 2011-10-26 |
1851676258 | Zoe Interventional Pain Management | Non-Pharmacy Dispensing Site | 1341 E 17th St, Idaho Falls, ID 83404-6235 | 2011-10-17 |
1134404718 | Zoe Interventional Pain Management | Non-Pharmacy Dispensing Site | 1352 E Center St, Suite A, Pocatello, ID 83201-4734 | 2011-10-14 |
1326322843 | Upper Valley Family Medicine Pllc | Non-Pharmacy Dispensing Site | 711 Rigby Lake Dr, Suite 115, Rigby, ID 83442-5192 | 2011-10-03 |
1144504663 | Advanced Healthcare Solutions LLC | Non-Pharmacy Dispensing Site | 950 Hospital Way, Pocatello, ID 83201-2789 | 2011-10-03 |
1437432267 | Advanced Healthcare Solutions, LLC | Non-Pharmacy Dispensing Site | 495 Yellowstone Ave, Pocatello, ID 83201-4531 | 2011-09-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.