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WILDFLOWER OBGYN LLC
NPI 1164300216
Obstetrics & Gynecology in Boise, ID

Active since August 26, 2025CLIA 13D2336289 · Waiver
341 E BANNOCK ST, BOISE, ID 83712(208) 279-1099 Get Directions Write a Review

NPPES record last updated: December 8, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wildflower Obgyn Llc NPPES

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

WILDFLOWER OBGYN LLC (NPI 1164300216) is a healthcare organization registered as an obstetrics & gynecology in Boise, Idaho and active in the NPI registry since August 2025. The organization holds a CLIA Waiver certificate valid through December 29, 2027 and lists Jennifer Hudson, Owner / Do, as its authorized official.

NPPES Registry Identity

NPI1164300216
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameWILDFLOWER OBGYN LLC
Location Address341 E BANNOCK STBoise, ID 83712-6208
Mailing Address341 E Bannock StBoise, ID 83712-6208 · (208) 279-1099
Phone(208) 279-1099
Organization SubpartNo
Authorized OfficialJennifer HudsonOwner / Do · (208) 279-1098
Enumeration DateAugust 26, 2025
Last NPPES UpdateDecember 8, 2025
NPPES CertifiedDecember 8, 2025
✔ NPI 1164300216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

341 E BANNOCK ST, Boise, ID 83712
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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2336289

Wildflower Obgyn, LLC · Boise, ID
Active · expires Dec 29, 2027
CLIA Number13D2336289
Laboratory TypePhysician Office
Certificate Effective DateDecember 30, 2025
Certificate Expiration DateDecember 29, 2027
Laboratory DirectorJennifer L. Hudson
Laboratory Phone(208) 279-1098
Laboratory LocationWildflower Obgyn, LLC341 E Bannock, Boise, ID 83712
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES A WOLF MD
Surgery (Surgical Oncology)
341 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 342-7033
STACEY CARDA
341 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 342-8180
RONAE MARTINEZ
341 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 342-8180
DINU G MISTRY MD PA
Clinic/Center
341 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 342-8180
DINU MISTRY WOLF MD
Plastic Surgery
341 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 342-8180
DR. MICHAEL SCOTT WOMACK M.D.
Pediatrics (Pediatric Cardiology)
341 E BANNOCK ST
BOISE, ID 83712
Ada County (208) 453-9962

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 Wildflower Obgyn LLC's NPI number?

The NPI number for Wildflower Obgyn LLC is 1164300216. It was assigned to this organization in the NPPES registry on August 26, 2025.

Where is Wildflower Obgyn LLC located?

Wildflower Obgyn LLC is located at 341 E Bannock St, Boise, ID 83712. The listed phone number is (208) 279-1099.

What is Wildflower Obgyn LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Wildflower Obgyn LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2336289) is associated with this NPI, valid through December 29, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wildflower Obgyn LLC was last updated on December 8, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.