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ISU MERIDIAN HEALTHCARE
NPI 1962095711
Nurse Practitioner - Primary Care in Meridian, ID

Active since February 12, 2021CLIA 13D2228558 · Microscopy
1311 E CENTRAL DR, MERIDIAN, ID 83642(208) 373-1734(833) 499-1813 Get Directions Write a Review

NPPES record last updated: August 27, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Aug 27, 2021, Feb 12, 2021 (2 updates tracked since 2021).

About Isu Meridian Healthcare NPPES

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

ISU MERIDIAN HEALTHCARE (NPI 1962095711) is a healthcare organization registered as a primary care in Meridian, Idaho and active in the NPI registry since February 2021. The organization holds a CLIA Microscopy certificate valid through June 27, 2027 and lists Cynthia Lee Rock, Clinics Director Of Operations, as its authorized official.

NPPES Registry Identity

NPI1962095711
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameIDAHO STATE UNIVERSITY
Location Address1311 E CENTRAL DRMeridian, ID 83642-7991
Mailing Address1311 E Central DrMeridian, ID 83642-7991 · (208) 373-1734 · Fax (833) 499-1813
Phone(208) 373-1734
Fax(833) 499-1813
Organization SubpartNo
Authorized OfficialCynthia Lee RockClinics Director Of Operations · (208) 373-1743
Enumeration DateFebruary 12, 2021
Last NPPES UpdateAugust 27, 20212 updates tracked since enumeration
NPPES CertifiedAugust 27, 2021
✔ NPI 1962095711 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
1311 E CENTRAL DR, Meridian, ID 83642
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Other Names 1

Other NameIsu Meridian Healthcare

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

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) 13D2228558

Isu Meridian Health Care · Meridian, ID
Active · expires Jun 27, 2027
CLIA Number13D2228558
Laboratory TypeIsu Facility Clinic
Certificate Effective DateJune 28, 2025
Certificate Expiration DateJune 27, 2027
Laboratory DirectorMichelle M. Anderson
Laboratory Phone(208) 373-1734
Laboratory LocationIsu Meridian Health Care1311 E Central Dr, Meridian, ID 83642
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 20

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

IDAHO STATE UNIVERSITY - MERIDIAN
Speech-Language Pathologist
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1728
NANCY K FOSS CCC-SLP
Speech-Language Pathologist
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1725
MR. PETER JOHN FLIPSEN JR. SL-P(C) CCC-SLP
Speech-Language Pathologist
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1725
CARMEN N HOUSE MS CCC-SLP
Speech-Language Pathologist
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1725
DR. KATHERINE QUINN MARTIN DDS
Dentist (General Practice)
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1855
DR. KATHERINE ANNE DIVINE D.D.S.
Dentist
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1860
HILLARY WHIPPLE DMD
Dentist (General Practice)
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1855
BRIAN BOLLWITT D.M.D.
Dentist
1311 E CENTRAL DR
MERIDIAN, ID 83642
Ada County (208) 373-1855

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 Idaho State University's NPI number?

The NPI number for Idaho State University is 1962095711. It was assigned to this organization in the NPPES registry on February 12, 2021.

Where is Idaho State University located?

Idaho State University is located at 1311 E Central Dr, Meridian, ID 83642. The listed phone number is (208) 373-1734.

What is Idaho State University's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Does Idaho State University hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 13D2228558) is associated with this NPI, valid through June 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Idaho State University was last updated on August 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.