Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Origin Health & Longevity PLLC

Organization Nurse Practitioner · NPI 1174453757

Origin Health & Longevity PLLC is a Nurse Practitioner in Meridian, Idaho. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4686 N Alameda Creek Ave
Meridian, ID 83646-2017
Phone: (208) 283-4929
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X

Record details

NPI number1174453757
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Samuel Buttars — Owner · (208) 283-4929
NPI enumeratedMay 23, 2026
Last updated in NPPESMay 23, 2026
Certification dateMay 22, 2026
Mailing address4686 N Alameda Creek Ave, Meridian, ID 83646-2017

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