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LIFESTAGES OB-GYN PLLC
NPI 1871618892
Obstetrics & Gynecology in Nampa, ID

Active since March 20, 2007CLIA 13D1039565 · Microscopy
3908 E FLAMINGO AVE, NAMPA, ID 83687(208) 442-8035(208) 442-8038 Get Directions Write a Review

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

About Lifestages Ob-gyn Pllc NPPES

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

LIFESTAGES OB-GYN PLLC (NPI 1871618892) is a healthcare organization registered as an obstetrics & gynecology in Nampa, Idaho and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through April 17, 2027 and lists Dustan Hughes, Owner, as its authorized official.

NPPES Registry Identity

NPI1871618892
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameLIFESTAGES OB-GYN PLLC
Location Address3908 E FLAMINGO AVENampa, ID 83687-3102
Mailing Address3908 E Flamingo AveNampa, ID 83687-3102 · (208) 442-8035 · Fax (208) 442-8038
Phone(208) 442-8035
Fax(208) 442-8038
Organization SubpartNo
Authorized OfficialDustan HughesOwner · (208) 442-8038
Enumeration DateMarch 20, 2007
Last NPPES UpdateDecember 26, 2024
NPPES CertifiedDecember 26, 2024
✔ NPI 1871618892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in ID · M8105✔ Licensed in ID · M8055
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

3908 E FLAMINGO AVE, Nampa, ID 83687
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Other Identifiers 3

Medicaid807138400ID
Medicaid806339500ID
Medicaid806575300ID

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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..Insurance ›

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 for Provider-Performed Microscopy Procedures (PPMP) 13D1039565

Life Stages Ob/Gyn And Family Practice · Nampa, ID
Active · expires Apr 17, 2027
CLIA Number13D1039565
Laboratory TypePhysician Office
Certificate Effective DateApril 18, 2025
Certificate Expiration DateApril 17, 2027
Laboratory DirectorDustan Hughes
Laboratory Phone(208) 442-8035
Laboratory LocationLife Stages Ob/Gyn And Family Practice3908 E Flamingo Ave, Nampa, ID 83687
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 4

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

JOCELYN ASHLEY BENTON PA-C
Physician Assistant
3908 E FLAMINGO AVE
NAMPA, ID 83687
Canyon County (208) 442-8035
JOANNE ROCHELLE ADAMS NP-C
Nurse Practitioner (Family)
3908 E FLAMINGO AVE
NAMPA, ID 83687
Canyon County (208) 442-8035
BRENNAN ANDERSON
Obstetrics & Gynecology
3908 E FLAMINGO AVE
NAMPA, ID 83687
Canyon County (208) 442-8035
KENDRA ANN SIGUENZA
Nurse Practitioner (Women's Health)
3908 E FLAMINGO AVE
NAMPA, ID 83687
Canyon County (208) 442-8035

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 Lifestages Ob-Gyn PLLC's NPI number?

The NPI number for Lifestages Ob-Gyn PLLC is 1871618892. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Lifestages Ob-Gyn PLLC located?

Lifestages Ob-Gyn PLLC is located at 3908 E Flamingo Ave, Nampa, ID 83687. The listed phone number is (208) 442-8035.

What is Lifestages Ob-Gyn PLLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Lifestages Ob-Gyn PLLC hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D1039565) is associated with this NPI, valid through April 17, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lifestages Ob-Gyn PLLC accept?

Health plans from Moda Health Plan, Inc. list Lifestages Ob-Gyn PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lifestages Ob-Gyn PLLC was last updated on December 26, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.