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AGELESS WOMEN'S HEALTH ID LLC
NPI 1235975202
Family Medicine - Adult Medicine in Meridian, ID

Active since July 08, 2024
3875 E OVERLAND RD STE 108, MERIDIAN, ID 83642(208) 268-5592 Get Directions Write a Review

NPPES record last updated: July 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ageless Women's Health Id Llc NPPES

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

AGELESS WOMEN'S HEALTH ID LLC (NPI 1235975202) is a healthcare organization registered as an adult medicine in Meridian, Idaho and active in the NPI registry since July 2024. The organization lists Teah Phillips, Credentialing Manager, as its authorized official.

NPPES Registry Identity

NPI1235975202
Entity TypeOrganization
Primary Taxonomy207QA0505X
Legal Business NameAGELESS WOMEN'S HEALTH ID LLC
Location Address3875 E OVERLAND RD STE 108Meridian, ID 83642-9047
Mailing Address3875 E Overland Rd Ste 108Meridian, ID 83642-9047
Phone(208) 268-5592
Organization SubpartNo
Authorized OfficialTeah PhillipsCredentialing Manager · (901) 205-3999
Enumeration DateJuly 8, 2024
NPPES CertifiedJuly 8, 2024
✔ NPI 1235975202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
3875 E OVERLAND RD STE 108, Meridian, ID 83642
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

CAITLYN BOECK FNP
Nurse Practitioner (Family)
3875 E OVERLAND RD STE 108
MERIDIAN, ID 83642
Ada County (208) 906-9128
MARY KATHERINE HARMON APRN-CNP, WHNP-BC
Nurse Practitioner (Women's Health)
3875 E OVERLAND RD STE 108
MERIDIAN, ID 83642
Ada County (208) 297-5829
ELAINE HUMPHRIES
Nurse Practitioner (Acute Care)
3875 E OVERLAND RD STE 108
MERIDIAN, ID 83642
Ada County (208) 297-5829

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 Ageless Women's Health Id LLC's NPI number?

The NPI number for Ageless Women's Health Id LLC is 1235975202. It was assigned to this organization in the NPPES registry on July 8, 2024.

Where is Ageless Women's Health Id LLC located?

Ageless Women's Health Id LLC is located at 3875 E Overland Rd Ste 108, Meridian, ID 83642. The listed phone number is (208) 268-5592.

What is Ageless Women's Health Id LLC's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

When was this NPI record last updated?

The NPPES record for Ageless Women's Health Id LLC was last updated on July 8, 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.