METABOLIC HEALTH AND LONGEVITY CENTER (NPI# 1912270661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912270661 |
| Entity Type | Organization |
| Organization Name | METABOLIC HEALTH AND LONGEVITY CENTER |
| Practice Address |
951 E Plaza Dr Suite 150 Eagle ID 83616-6566 |
| Practice Telephone | 2089394456 |
| Practice Fax Number | 2082872200 |
| Mailing Telephone | 2089394456 |
| Mailing Fax Number | 2082872200 |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-04-30 |
| Authorized Official Name | MS. TAWNI WEAVER (DIRECTOR) |
| Authorized Official Telephone | 2089394456 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
NP-784A | ID | Ambulatory Health Care Facilities |
| Street Address |
951 E PLAZA DR SUITE 150 |
| City | EAGLE |
| State | ID |
| Zip Code | 83616-6566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386643146 | Cynthia Ray Culp | Nurse Practitioner | 951 E Plaza Dr, Suite Number 110, Eagle, ID 83616-6566 | 2005-07-14 |
| 1356985816 | Synergy Health and Wellness | Chiropractor | 951 E Plaza Dr, Eagle, ID 83616-6566 | 2019-10-29 |
| 1528427796 | Danielle Sutton | Nurse Practitioner | 951 E Plaza Dr, #170, Eagle, ID 83616-6566 | 2016-02-16 |
| 1407129125 | Renu Medispa | Clinic/Center | 951 E Plaza Dr, Suite 150, Eagle, ID 83616-6566 | 2012-02-10 |
| 1114227246 | Specialty Labs Pllc | Clinical Medical Laboratory | 951 E Plaza Dr, Suite 170, Eagle, ID 83616 | 2010-10-22 |
| 1144469735 | Claudia Parcells | Nurse Practitioner | 951 E Plaza Dr, Suite 170, Eagle, ID 83616-6566 | 2009-02-05 |
| 1104983881 | Rocky Mountain Health and Wellness LLC | Nurse Practitioner | 951 E Plaza Dr, Ste 110, Eagle, ID 83616-6566 | 2007-01-02 |
| 1891730917 | Tamara Marie Simon | Obstetrics & Gynecology | 951 E Plaza Dr, Suite 170, Eagle, ID 83616-6566 | 2006-06-20 |
| 1649237140 | Karen Angela Howell | Physical Therapist | 951 E Plaza Dr, Eagle, ID 83616-6566 | 2006-04-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
| 1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
| 1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
| 1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
| 1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
| 1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
| 1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
| 1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
| 1053650010 | Kellie Ann Northam | Nurse Practitioner | 192 West State Street, Eagle, ID 83616 | 2013-02-11 |
| 1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
| Find all providers in zip 83616 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982026571 | Treasure Valley Family Health Care, LLC | Clinic/Center | 1055 N Echohawk Way, Eagle, ID 83616-5456 | 2014-01-16 |
| 1124393244 | Dr. Eliza Kearman, Nd, Lac, Inc. | Clinic/Center | 403 Broadway St, Eagle, CO 81631-1265 | 2012-03-22 |
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| 1912516303 | Nova Integrative Health | Clinic/Center | 229 E Logan St, Caldwell, ID 83605-4835 | 2020-07-30 |
| 1508489600 | We Care Wellness Center, Inc. | Clinic/Center | 1484 E Bobwhite Ln, Post Falls, ID 83854-4949 | 2020-05-22 |
| 1023639622 | Idaho Street Medical Clinic | Clinic/Center | 126 W. Idaho Ave, Homedale, ID 83628-8362 | 2020-05-05 |
| 1316506413 | Sawtooth Family Medicine Pllc | Clinic/Center | 2320 E Gala St Ste 400, Meridian, ID 83642-4880 | 2019-06-12 |
| 1770059792 | New Plymouth Clinic | Clinic/Center | 213 N Plymouth Ave, New Plymouth, ID 83655-5532 | 2018-10-17 |
| 1477044543 | Place of Food | Clinic/Center | 1131 Cole St, Kimberly, ID 83341-5138 | 2018-05-24 |
| 1619351582 | Natural Family Health Inc. | Clinic/Center | 945 E River Spur, Priest River, ID 83856-5070 | 2015-07-10 |
| 1124303094 | N.e.x.t. Level Health Center, Inc. | Clinic/Center | 2105 Niagara, Idaho Falls, ID 83404 | 2011-10-11 |
| 1972821254 | Sohm Chiropractic Pa | Clinic/Center | 8382 W Ustick Rd, Suite 200, Boise, ID 83704-5986 | 2010-05-11 |
| 1588991566 | Ashton Memorial, Inc. | Clinic/Center | 23 S. 8th, Ashton, ID 83420 | 2009-11-11 |
| Find all providers with the same taxonomy | ||||
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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.