FORTIFY OPTIMAL HEALTH
NPI 1437945391
Family Medicine in Ammon, ID

Active since April 17, 2025
1189 RED ROBIN AVE, AMMON, ID 83401(619) 602-4520 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fortify Optimal Health NPPES

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

FORTIFY OPTIMAL HEALTH (NPI 1437945391) is a healthcare organization registered as a family medicine in Ammon, Idaho and active in the NPI registry since April 2025. The organization lists Susannah Hancock, Ceo, as its authorized official.

NPPES Registry Identity

NPI1437945391
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFORTIFY OPTIMAL HEALTH
Location Address1189 RED ROBIN AVEAmmon, ID 83401-5747
Mailing Address784 South Clear Loop Ste RPost Falls, ID 83854 · (619) 602-4520
Organization SubpartNo
Authorized OfficialSusannah HancockCeo · (619) 602-4520
Enumeration DateApril 17, 2025
NPPES CertifiedApril 9, 2025
NPI 1437945391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1189 RED ROBIN AVE, Ammon, ID 83401

Other Names 1

Other NameFortify Optimal Health

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.

Nurse Practitioner (Family)
1189 RED ROBIN AVE
AMMON, ID 83401

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 Fortify Optimal Health's NPI number?

The NPI number for Fortify Optimal Health is 1437945391. It was assigned to this organization in the NPPES registry on April 17, 2025.

Where is Fortify Optimal Health located?

Fortify Optimal Health is located at 1189 Red Robin Ave, Ammon, ID 83401. The listed phone number is (619) 602-4520.

What is Fortify Optimal Health's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Fortify Optimal Health was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.