ADD CLINIC OF IDAHO
NPI 1801567029
Nurse Practitioner - Family in Meridian, ID

Q: What is Add Clinic Of Idaho's NPI number?

The NPI number for Add Clinic Of Idaho is 1801567029. It was assigned to this organization in the NPPES registry on September 27, 2021.

Q: What is Add Clinic Of Idaho's specialty?

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

Active since September 27, 2021

1450 W USTICK RD, UNIT 102, MERIDIAN, ID 83646(858) 207-8861 Get Directions Write a Review

NPPES record last updated: September 27, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Add Clinic Of Idaho NPPES

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

ADD CLINIC OF IDAHO (NPI 1801567029) is a healthcare organization registered as a family in Meridian, Idaho and active in the NPI registry since September 2021. The organization lists Cody D Mattingly, Owner, as its authorized official.

NPPES Registry Identity

NPI1801567029

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameADD CLINIC OF IDAHO

Location Address1450 W USTICK RD, UNIT 102Meridian, ID 83646

Mailing Address330 W Anton DrMeridian, ID 83646-2066 · (858) 207-8861

Phone(858) 207-8861

Organization SubpartNo

Authorized OfficialCody D MattinglyOwner · (858) 207-8861

Enumeration DateSeptember 27, 2021

NPPES CertifiedSeptember 10, 2021

✔ NPI 1801567029 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

1450 W USTICK RD, 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

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 Add Clinic Of Idaho's NPI number?

The NPI number for Add Clinic Of Idaho is 1801567029. It was assigned to this organization in the NPPES registry on September 27, 2021.

Where is Add Clinic Of Idaho located?

Add Clinic Of Idaho is located at 1450 W Ustick Rd Unit 102, Meridian, ID 83646. The listed phone number is (858) 207-8861.

What is Add Clinic Of Idaho's specialty?

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

When was this NPI record last updated?

The NPPES record for Add Clinic Of Idaho was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.