BESPOKE BODY & WELLNESS
NPI 1104680602
Nurse Practitioner - Family in Meridian, ID

Active since February 06, 2024
4028 N QUENZER WAY, MERIDIAN, ID 83646(208) 398-9974 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bespoke Body & Wellness NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BESPOKE BODY & WELLNESS (NPI 1104680602) is a healthcare organization registered as a family in Meridian, Idaho and active in the NPI registry since February 2024. The organization lists Alison Melle, Np/owner, as its authorized official.

NPPES Registry Identity

NPI1104680602
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameBESPOKE BODY & WELLNESS
Location Address4028 N QUENZER WAYMeridian, ID 83646-5928
Mailing Address4028 N Quenzer WayMeridian, ID 83646-5928 · (208) 398-9974
Organization SubpartNo
Authorized OfficialAlison MelleNp/owner · (208) 398-9974
Enumeration DateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
NPI 1104680602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
4028 N QUENZER WAY, Meridian, ID 83646

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bespoke Body & Wellness's NPI number?

The NPI number for Bespoke Body & Wellness is 1104680602. It was assigned to this organization in the NPPES registry on February 6, 2024.

Where is Bespoke Body & Wellness located?

Bespoke Body & Wellness is located at 4028 N Quenzer Way, Meridian, ID 83646. The listed phone number is (208) 398-9974.

What is Bespoke Body & Wellness's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bespoke Body & Wellness was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.