NPI age
8 years
Enumerated 2017-11-16
● Active Type 2 · Organization
Live Well Health And Nutrition Pllc
Live Well Health And Nutrition Pllc is 1 of 145 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Bahadar
Np, Owner
Last NPPES update
2017-11-16
Source: monthly bulk 2026-05
How this organization compares
Across 145 active clinic/center providers in Idaho.
NPI age
8 years
≈ at median (9 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-11Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
4700 N Cloverdale Rd Ste 103
Boise, ID 837131067
Mailing address
4700 N Cloverdale Rd Ste 103
Boise, ID 837131067
Authorized official
Denise Bahadar, NP
Np, Owner
📞 2088614677
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Blake Howard, D.C. Chiropractor NPI 1285658302
- Jill Moughamian, NP Nurse Practitioner NPI 1760845259
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | NP-1169A | STATE LICENSE |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- 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.