ADD CLINIC OF IDAHO
NPI 1801567029
Nurse Practitioner - Family in Meridian, ID
NPI Status: Active since September 27, 2021
Contact Information
1450 W USTICK RD
UNIT 102
MERIDIAN, ID
ZIP 83646
Phone: (858) 207-8861
- Organization
- Nurse Practitioner
- Family
- Accepts Insurance
- CLIA Number: 13D2284741
- CLIA Cert. Type: Independent
- CLIA Exp. Date: 06-27-2025
About ADD CLINIC OF IDAHO
This page provides the complete NPI Profile along with additional information for Add Clinic Of Idaho, a provider established in Meridian, Idaho operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1801567029 assigned on September 2021. The practitioner's primary taxonomy code is 363LF0000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Cody D Mattingly Pa-c (Owner)
- NPI
- 1801567029
- Provider Name
- ADD CLINIC OF IDAHO
- Entity Type
- Organization
- Location Address
- 1450 W USTICK RD UNIT 102 MERIDIAN, ID 83646
- Location Phone
- (858) 207-8861
- Mailing Address
- 330 W ANTON DR MERIDIAN, ID 83646
- Mailing Phone
- (858) 207-8861
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 09-27-2021
- Last Update Date
- 09-27-2021
- Code Navigator
A nurse practitioner (NP) like Add Clinic Of Idaho is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Nurse Practitioner Family
- Taxonomy Code
- 363LF0000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze Expanded Standard - PPO
- Connect Bronze HDHP - PPO
- Connect Catastrophic - PPO
- Connect Gold - PPO
- Connect Gold Standard - PPO
- Connect Silver - PPO
- Connect Silver Standard - PPO
- High Plains Bronze HDHP - PPO
- High Plains Bronze Standard Expanded - PPO
- High Plains Gold - PPO
- High Plains Gold HDHP - PPO
- High Plains Gold Standard - PPO
- High Plains Silver - PPO
- High Plains Silver Standard - PPO
- Plus Bronze Expanded - PPO
- Plus Bronze Standard Expanded - PPO
- Plus Gold - PPO
- Plus Gold Standard - PPO
- Plus Silver Standard - PPO
- ACCESS BRONZE - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 13D2284741
- Facility Type
- Independent
- Certificate Effective Date
- June 28, 2023
- Certificate Expiration Date
- June 27, 2025
- Laboratory Director
- KYLE RONNAU
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Add Clinic Of Idaho to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 8 | 0 | 1 | 5 | 6 | 7 | 0 | 2 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 8 | 0 | 1 | 10 | 6 | 14 | 0 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 8 + 0 + 1 + 1 + 0 + 6 + 1 + 4 + 0 + 4 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1801567029 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1801567029, enumerated as an "organization" on September 27, 2021.
The provider is located at 1450 W USTICK RD UNIT 102 MERIDIAN, ID 83646 and the phone number is (858) 207-8861.
Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.
The provider might be accepting Accepts: Mountain Health CO-OP. Please consult your insurance carrier or call the provider to verify.
