ABUNDANT LIFE HEALTH CARE PC
NPI 1386750552
Nurse Practitioner - Family in Boise, ID

Q: What is Abundant Life Health Care PC's NPI number?

The NPI number for Abundant Life Health Care PC is 1386750552. It was assigned to this organization in the NPPES registry on August 21, 2006.

Q: What is Abundant Life Health Care PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since August 21, 2006CLIA 13D1062890 · Waiver

1617 W JEFFERSON ST, BOISE, ID 83702(208) 433-9188(208) 433-9372 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Abundant Life Health Care Pc NPPES

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

ABUNDANT LIFE HEALTH CARE PC (NPI 1386750552) is a healthcare organization registered as a family in Boise, Idaho and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through December 28, 2026 and lists Karole L Beck, Family Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1386750552

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameABUNDANT LIFE HEALTH CARE PC

Location Address1617 W JEFFERSON STBoise, ID 83702-5111

Mailing Address1617 W Jefferson StBoise, ID 83702-5111 · (208) 433-9188 · Fax (208) 433-9372

Phone(208) 433-9188

Fax(208) 433-9372

Organization SubpartNo

Authorized OfficialKarole L BeckFamily Nurse Practitioner · (208) 433-9188

Enumeration DateAugust 21, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1386750552 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

License✔ Licensed in ID · NP-541A

1617 W JEFFERSON ST, Boise, ID 83702

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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D1062890

Abundant Life Health Care · Boise, ID

Active · expires Dec 28, 2026

CLIA Number13D1062890

Laboratory TypePractitioner Other

Certificate Effective DateDecember 29, 2024

Certificate Expiration DateDecember 28, 2026

Laboratory DirectorKarole L. Beck

Laboratory Phone(208) 433-9188

Laboratory LocationAbundant Life Health Care8305 W Northview St, Boise, ID 83704

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SOUL SAGE, LLC

Social Worker (Clinical)

1617 W JEFFERSON ST
BOISE, ID 83702

Ada County (208) 488-8864

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 Abundant Life Health Care PC's NPI number?

The NPI number for Abundant Life Health Care PC is 1386750552. It was assigned to this organization in the NPPES registry on August 21, 2006.

Where is Abundant Life Health Care PC located?

Abundant Life Health Care PC is located at 1617 W Jefferson St, Boise, ID 83702. The listed phone number is (208) 433-9188.

What is Abundant Life Health Care PC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Abundant Life Health Care PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D1062890) is associated with this NPI, valid through December 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Abundant Life Health Care PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.