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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MIND AND BODY MEDICINE LLC
NPI 1265345235
Nurse Practitioner - Family in Boise, ID

Active since September 23, 2026
1880 W JUDITH LN STE 220, BOISE, ID 83705(208) 918-4080(208) 473-7338 Get Directions Write a Review

NPPES record added: September 23, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Mind And Body Medicine Llc NPPES

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

MIND AND BODY MEDICINE LLC (NPI 1265345235) is a healthcare organization registered as a family in Boise, Idaho and active in the NPI registry since September 2026. The organization maintains a secondary practice location in Eagle and lists Tamara Mcdonald, Owner, as its authorized official.

NPPES Registry Identity

NPI1265345235
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameMIND AND BODY MEDICINE LLC
Location Address1880 W JUDITH LN STE 220Boise, ID 83705-3138
Mailing Address3527 S Federal Way Ste 103-414Boise, ID 83705-5204 · (208) 918-4080 · Fax (208) 473-7338
Phone(208) 918-4080
Fax(208) 473-7338
Organization SubpartNo
Authorized OfficialTamara McdonaldOwner · (208) 918-4080
Enumeration DateSeptember 23, 2026
NPPES CertifiedSeptember 23, 2026
✔ NPI 1265345235 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
1880 W JUDITH LN STE 220, Boise, ID 83705
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Secondary Practice Location 1

Location 11191 E Iron Eagle Dr Ste 200Eagle, ID 83616-5146 · Phone (208) 918-4080 · Fax (208) 473-7338

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.

WELLSPACE PLLC
Clinic/Center (Adult Mental Health)
1880 W JUDITH LN STE 220
BOISE, ID 83705
Ada County (208) 918-2588

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 Mind And Body Medicine LLC's NPI number?

The NPI number for Mind And Body Medicine LLC is 1265345235. It was assigned to this organization in the NPPES registry on September 23, 2026.

Where is Mind And Body Medicine LLC located?

Mind And Body Medicine LLC is located at 1880 W Judith Ln Ste 220, Boise, ID 83705. The listed phone number is (208) 918-4080.

What is Mind And Body Medicine LLC'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 Mind And Body Medicine LLC was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.