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HAZEL HEALTHCARE LLC
NPI 1679355036
Nurse Practitioner - Primary Care in Meridian, ID

Active since October 19, 2023CLIA 13D2296301 · Waiver
2584 N STOKESBERRY PL, MERIDIAN, ID 83646(208) 412-6905 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 14, 2023, Oct 19, 2023 (2 updates tracked since 2023).

About Hazel Healthcare Llc NPPES

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

HAZEL HEALTHCARE LLC (NPI 1679355036) is a healthcare organization registered as a primary care in Meridian, Idaho and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through December 26, 2027 and lists Laura D Carter, Owner, Ceo, as its authorized official.

NPPES Registry Identity

NPI1679355036
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameHAZEL HEALTHCARE LLC
Location Address2584 N STOKESBERRY PLMeridian, ID 83646-1144
Mailing Address2584 N Stokesberry PlMeridian, ID 83646-1144 · (208) 906-2558
Phone(208) 412-6905
Organization SubpartNo
Authorized OfficialLaura D CarterOwner, Ceo · (208) 906-2558
Enumeration DateOctober 19, 2023
Last NPPES UpdateJanuary 19, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2024
✔ NPI 1679355036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
2584 N STOKESBERRY PL, Meridian, ID 83646
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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 13D2296301

Hazel Healthcare LLC · Meridian, ID
Active · expires Dec 26, 2027
CLIA Number13D2296301
Laboratory TypePractitioner Other
Certificate Effective DateDecember 27, 2025
Certificate Expiration DateDecember 26, 2027
Laboratory DirectorEva Bingham
Laboratory Phone(208) 906-2558
Laboratory LocationHazel Healthcare LLC2584 N Stokesberry Place, Meridian, ID 83646
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

CAITLIN A PARKER M.A., LCPC, NCC
Counselor (Professional)
2584 N STOKESBERRY PL
MERIDIAN, ID 83646
Ada County (208) 695-7517
NUTRITION BY DESIGN, LLC
Dietitian, Registered
2584 N STOKESBERRY PL
MERIDIAN, ID 83646
Ada County (208) 954-7959
DR. BEN SWANSON PHD
Psychologist (Counseling)
2584 N STOKESBERRY PL
MERIDIAN, ID 83646
Ada County (208) 841-3670
DR. EVA BINGHAM DNP, FNP-C
Nurse Practitioner (Family)
2584 N STOKESBERRY PL
MERIDIAN, ID 83646
Ada County (208) 906-2558
JOHN TANNER MEIRNDORF APRN-CNP,
Nurse Practitioner (Family)
2584 N STOKESBERRY PL
MERIDIAN, ID 83646
Ada County (208) 906-2558
MRS. KAREN A. DIETZ LPC
Counselor (Mental Health)
2584 N STOKESBERRY PL
MERIDIAN, ID 83646
Ada County (208) 473-0011
HAZEL HEALTHCARE LLC
Nurse Practitioner
2584 N STOKESBERRY PL
MERIDIAN, ID 83646
Ada County (208) 906-2558

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 Hazel Healthcare LLC's NPI number?

The NPI number for Hazel Healthcare LLC is 1679355036. It was assigned to this organization in the NPPES registry on October 19, 2023.

Where is Hazel Healthcare LLC located?

Hazel Healthcare LLC is located at 2584 N Stokesberry Pl, Meridian, ID 83646. The listed phone number is (208) 412-6905.

What is Hazel Healthcare LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Hazel Healthcare LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2296301) is associated with this NPI, valid through December 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hazel Healthcare LLC was last updated on January 19, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.