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

SUMMIT LONGEVITY & AESTHETICS PLLC
NPI 1336047679
Clinic/Center - Primary Care in Rigby, ID

Active since October 27, 2026
3991 E 400 N, BLDG 500A, RIGBY, ID 83442(208) 851-0049 Get Directions Write a Review

NPPES record added: October 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Summit Longevity & Aesthetics Pllc NPPES

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

SUMMIT LONGEVITY & AESTHETICS PLLC (NPI 1336047679) is a healthcare organization registered as a primary care in Rigby, Idaho and active in the NPI registry since October 2026. The organization lists Jessica Heddinger, Owner/ Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1336047679
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSUMMIT LONGEVITY & AESTHETICS PLLC
Location Address3991 E 400 N, BLDG 500ARigby, ID 83442
Mailing AddressPo Box 644Rigby, ID 83442-0644 · (208) 851-0049
Organization SubpartNo
Authorized OfficialJessica HeddingerOwner/ Family Nurse Practitioner · (208) 851-0049
Enumeration DateOctober 27, 2026
NPPES CertifiedOctober 23, 2026
✔ NPI 1336047679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
3991 E 400 N, Rigby, ID 83442

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
3991 E 400 N, BLDG 500A
RIGBY, ID 83442

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 Summit Longevity & Aesthetics PLLC's NPI number?

The NPI number for Summit Longevity & Aesthetics PLLC is 1336047679. It was assigned to this organization in the NPPES registry on October 27, 2026.

Where is Summit Longevity & Aesthetics PLLC located?

Summit Longevity & Aesthetics PLLC is located at 3991 E 400 N Bldg 500A, Rigby, ID 83442. The listed phone number is (208) 851-0049.

What is Summit Longevity & Aesthetics PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Summit Longevity & Aesthetics PLLC was last updated on October 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.