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LIFESPAN WELLNESS PLLC
NPI 1366819310
Nurse Practitioner - Psychiatric/Mental Health in Meridian, ID

Active since August 25, 2015
1404 N MAIN ST, SUITE 101, MERIDIAN, ID 83642(208) 888-6264(208) 906-2363 Get Directions Write a Review

NPPES record last updated: February 24, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lifespan Wellness Pllc NPPES

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

LIFESPAN WELLNESS PLLC (NPI 1366819310) is a healthcare organization registered as a psychiatric/mental health in Meridian, Idaho and active in the NPI registry since August 2015. The organization lists Rebekah Danielle Nation, Owner/psychiatric Np, as its authorized official.

NPPES Registry Identity

NPI1366819310
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameLIFESPAN WELLNESS PLLC
Location Address1404 N MAIN ST, SUITE 101Meridian, ID 83642-2799
Mailing Address1404 N Main St, Suite 101Meridian, ID 83642-2799 · (208) 888-6264 · Fax (208) 906-2363
Phone(208) 888-6264
Fax(208) 906-2363
Organization SubpartNo
Authorized OfficialRebekah Danielle NationOwner/psychiatric Np · (770) 324-7635
Enumeration DateAugust 25, 2015
Last NPPES UpdateFebruary 24, 2016
✔ NPI 1366819310 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ID · NP-1536A
1404 N MAIN ST, Meridian, ID 83642
Open in Google Maps ↗

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

Other Providers at the Same Location NPPES

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

BABY'S FIRST WOMB INC
Radiologic Technologist (Sonography)
1404 N MAIN ST, STE 100
MERIDIAN, ID 83642
Ada County (208) 789-0512

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 Lifespan Wellness PLLC's NPI number?

The NPI number for Lifespan Wellness PLLC is 1366819310. It was assigned to this organization in the NPPES registry on August 25, 2015.

Where is Lifespan Wellness PLLC located?

Lifespan Wellness PLLC is located at 1404 N Main St Suite 101, Meridian, ID 83642. The listed phone number is (208) 888-6264.

What is Lifespan Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Lifespan Wellness PLLC accept?

Health plans from Moda Health Plan, Inc. list Lifespan Wellness PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifespan Wellness PLLC was last updated on February 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.