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ESSENTIAL LIFE BOISE
NPI 1841550126
Clinic/Center - Medical Specialty in Boise, ID

Active since May 21, 2012
13125 W PERSIMMON LN, STE 100, BOISE, ID 83713(208) 991-0352 Get Directions Write a Review

NPPES record last updated: August 27, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Essential Life Boise NPPES

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

ESSENTIAL LIFE BOISE (NPI 1841550126) is a healthcare organization registered as a medical specialty in Boise, Idaho and active in the NPI registry since May 2012. The organization lists Yvonne Fedewa, Owner, as its authorized official.

NPPES Registry Identity

NPI1841550126
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameESSENTIAL LIFE BOISE
Location Address13125 W PERSIMMON LN, STE 100Boise, ID 83713-2086
Mailing Address13125 W Persimmon Ln, Ste 100Boise, ID 83713-2086
Phone(208) 991-0352
Organization SubpartNo
Authorized OfficialYvonne FedewaOwner · (208) 991-0352
Enumeration DateMay 21, 2012
Last NPPES UpdateAugust 27, 2012
✔ NPI 1841550126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in ID · CHIA1466
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
13125 W PERSIMMON LN, Boise, ID 83713
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Other Providers at the Same Location NPPES 2

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

ESSENTIAL LIFE BOISE, LLC
Clinic/Center (Medical Specialty)
13125 W PERSIMMON LN, SUITE 100
BOISE, ID 83713
Ada County (208) 991-0352
DR. YVONNE ROSE FEDEWA AICHER D.C.
Chiropractor
13125 W PERSIMMON LN, SUITE 100
BOISE, ID 83713
Ada County (208) 991-0352

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 Essential Life Boise's NPI number?

The NPI number for Essential Life Boise is 1841550126. It was assigned to this organization in the NPPES registry on May 21, 2012.

Where is Essential Life Boise located?

Essential Life Boise is located at 13125 W Persimmon Ln Ste 100, Boise, ID 83713. The listed phone number is (208) 991-0352.

What is Essential Life Boise's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

When was this NPI record last updated?

The NPPES record for Essential Life Boise was last updated on August 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.