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ORIGIN HEALTH & LONGEVITY PLLC
NPI 1174453757
Nurse Practitioner in Meridian, ID

Active since May 23, 2026
4686 N ALAMEDA CREEK AVE, MERIDIAN, ID 83646(208) 283-4929 Get Directions Write a Review

NPPES record last updated: May 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Origin Health & Longevity Pllc NPPES

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

ORIGIN HEALTH & LONGEVITY PLLC (NPI 1174453757) is a healthcare organization registered as a nurse practitioner in Meridian, Idaho and active in the NPI registry since May 2026. The organization lists Samuel Kent Buttars, Owner, as its authorized official.

NPPES Registry Identity

NPI1174453757
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameORIGIN HEALTH & LONGEVITY PLLC
Location Address4686 N ALAMEDA CREEK AVEMeridian, ID 83646-2017
Mailing Address4686 N Alameda Creek AveMeridian, ID 83646-2017 · (208) 283-4929
Phone(208) 283-4929
Organization SubpartNo
Authorized OfficialSamuel Kent ButtarsOwner · (208) 283-4929
Enumeration DateMay 23, 2026
NPPES CertifiedMay 22, 2026
✔ NPI 1174453757 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4686 N ALAMEDA CREEK AVE, Meridian, ID 83646
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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

Other Providers at the Same Location NPPES

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

SAMUEL KENT BUTTARS FNP
Nurse Practitioner (Family)
4686 N ALAMEDA CREEK AVE
MERIDIAN, ID 83646
Ada County (208) 283-4929

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 Origin Health & Longevity PLLC's NPI number?

The NPI number for Origin Health & Longevity PLLC is 1174453757. It was assigned to this organization in the NPPES registry on May 23, 2026.

Where is Origin Health & Longevity PLLC located?

Origin Health & Longevity PLLC is located at 4686 N Alameda Creek Ave, Meridian, ID 83646. The listed phone number is (208) 283-4929.

What is Origin Health & Longevity PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Origin Health & Longevity PLLC was last updated on May 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.