NPI age
4 years
Enumerated 2021-09-27
● Active Type 2 · Organization
Add Clinic Of Idaho
Add Clinic Of Idaho is 1 of 1280 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Mattingly
Owner
Last NPPES update
2021-09-27
Source: monthly bulk 2026-05
How this organization compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
4 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2021 → 2026
2021-09Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
1450 W Ustick Rd, Unit 102
Meridian, ID 83646
Mailing address
330 W Anton Dr
Meridian, ID 836462066
Authorized official
Cody D Mattingly, PA-C
Owner
📞 8582078861
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 1280 Nurse Practitioner providers in Idaho?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.