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CHERRY HEIGHTS FAMILY CLINIC LLC
NPI 1952078115
Family Medicine in Meridian, ID

Active since August 25, 2021CLIA 13D2102380 · Waiver
1560 N CRESTMONT DR STE A, MERIDIAN, ID 83642(208) 650-4888(208) 650-4892 Get Directions Write a Review

NPPES record last updated: November 1, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cherry Heights Family Clinic Llc NPPES

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

CHERRY HEIGHTS FAMILY CLINIC LLC (NPI 1952078115) is a healthcare organization registered as a family medicine in Meridian, Idaho and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through November 14, 2027 and lists Tahlia Dennis, Delegated Official, as its authorized official.

NPPES Registry Identity

NPI1952078115
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCHERRY HEIGHTS FAMILY CLINIC LLC
Location Address1560 N CRESTMONT DR STE AMeridian, ID 83642-2178
Mailing Address1560 N Crestmont Dr Ste AMeridian, ID 83642-2178 · (208) 650-4888 · Fax (208) 650-4892
Phone(208) 650-4888
Fax(208) 650-4892
Organization SubpartNo
Authorized OfficialTahlia DennisDelegated Official · (082) 650-4888
Enumeration DateAugust 25, 2021
Last NPPES UpdateNovember 1, 2024
NPPES CertifiedNovember 1, 2024
✔ NPI 1952078115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1560 N CRESTMONT DR STE A, Meridian, ID 83642
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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 13D2102380

Cherry Heights Family Clinic · Meridian, ID
Active · expires Nov 14, 2027
CLIA Number13D2102380
Laboratory TypePhysician Office
Certificate Effective DateNovember 15, 2025
Certificate Expiration DateNovember 14, 2027
Laboratory DirectorCherese Combs
Laboratory Phone(208) 650-4888
Laboratory LocationCherry Heights Family Clinic1560 N Crestmont Dr Ste A, Meridian, ID 83642
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

ASHLEY NICOLE HALL FNP-C
Family Medicine
1560 N CRESTMONT DR STE A
MERIDIAN, ID 83642
Ada County (208) 650-4888
JOAN FRAINO NP
Nurse Practitioner (Family)
1560 N CRESTMONT DR STE A
MERIDIAN, ID 83642
Ada County (208) 650-4888
DR. LANE NATHAN CABLE D.C.
Chiropractor
1560 N CRESTMONT DR STE A
MERIDIAN, ID 83642
Ada County (208) 650-4888
TARTER FAMILY MEDICINE INC
Nurse Practitioner
1560 N CRESTMONT DR STE A
MERIDIAN, ID 83642
Ada County (208) 650-4888
NICOLE MARIE EGGOLD NP
Nurse Practitioner (Family)
1560 N CRESTMONT DR STE A
MERIDIAN, ID 83642
Ada County (208) 650-4888

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 Cherry Heights Family Clinic LLC's NPI number?

The NPI number for Cherry Heights Family Clinic LLC is 1952078115. It was assigned to this organization in the NPPES registry on August 25, 2021.

Where is Cherry Heights Family Clinic LLC located?

Cherry Heights Family Clinic LLC is located at 1560 N Crestmont Dr Ste A, Meridian, ID 83642. The listed phone number is (208) 650-4888.

What is Cherry Heights Family Clinic LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Cherry Heights Family Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2102380) is associated with this NPI, valid through November 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Cherry Heights Family Clinic LLC accept?

Health plans from Moda Health Plan, Inc. list Cherry Heights Family Clinic LLC 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 Cherry Heights Family Clinic LLC was last updated on November 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.