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COMPLETE EMBODIMENT WELLNESS
NPI 1932811296
Nurse Practitioner - Family in Boise, ID

Active since December 19, 2022CLIA 13D2276240 · Waiver
7683 W EMERALD ST, BOISE, ID 83704(208) 376-2522 Get Directions Write a Review

NPPES record last updated: May 16, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 16, 2023, Dec 19, 2022 (2 updates tracked since 2022).

About Complete Embodiment Wellness NPPES

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

COMPLETE EMBODIMENT WELLNESS (NPI 1932811296) is a healthcare organization registered as a family in Boise, Idaho and active in the NPI registry since December 2022. The organization holds a CLIA Waiver certificate valid through February 5, 2027 and lists Toni Bennett, Credentialing Specialist, as its authorized official.

NPPES Registry Identity

NPI1932811296
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCOMPLETE EMBODIMENT WELLNESS
Location Address7683 W EMERALD STBoise, ID 83704-9018
Mailing AddressPo Box 44124Boise, ID 83711-0124 · (208) 384-9022 · Fax (208) 947-3465
Phone(208) 376-2522
Organization SubpartNo
Authorized OfficialToni BennettCredentialing Specialist · (208) 810-2319
Enumeration DateDecember 19, 2022
Last NPPES UpdateMay 16, 20232 updates tracked since enumeration
NPPES CertifiedMay 16, 2023
✔ NPI 1932811296 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
7683 W EMERALD ST, Boise, ID 83704
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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

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 of Waiver 13D2276240

Complete Embodiment Wellness · Boise, ID
Active · expires Feb 5, 2027
CLIA Number13D2276240
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorBrittany L. Aitchison
Laboratory Phone(816) 288-9063
Laboratory LocationComplete Embodiment Wellness7683 W Emerald St, Boise, ID 83704
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

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 Complete Embodiment Wellness's NPI number?

The NPI number for Complete Embodiment Wellness is 1932811296. It was assigned to this organization in the NPPES registry on December 19, 2022.

Where is Complete Embodiment Wellness located?

Complete Embodiment Wellness is located at 7683 W Emerald St, Boise, ID 83704. The listed phone number is (208) 376-2522.

What is Complete Embodiment Wellness's specialty?

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

Does Complete Embodiment Wellness hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2276240) is associated with this NPI, valid through February 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Complete Embodiment Wellness accept?

Health plans from Moda Health Plan, Inc. list Complete Embodiment Wellness 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 Complete Embodiment Wellness was last updated on May 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.