Origin Health & Longevity PLLC
NPI 1174453757 · Nurse Practitioner · Meridian, ID
Origin Health & Longevity PLLC is a Nurse Practitioner organization in Meridian, ID (NPI 1174453757).
Provider details
- NPI number
- 1174453757
- Entity type
- Organization
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Samuel Buttars, Owner(208) 283-4929
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-05-23
- Last updated
- 2026-05-23
- Certified
- 2026-05-22
Frequently asked questions
- What is Origin Health & Longevity PLLC's NPI number?
- Origin Health & Longevity PLLC's National Provider Identifier (NPI) is 1174453757, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Origin Health & Longevity PLLC?
- Origin Health & Longevity PLLC is classified in the NPPES registry as Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Origin Health & Longevity PLLC located?
- Origin Health & Longevity PLLC's practice location on file with NPPES is 4686 N Alameda Creek Ave, Meridian, ID 83646-2017.
- What is Origin Health & Longevity PLLC's phone number?
- The practice phone number listed in the NPPES registry for Origin Health & Longevity PLLC is (208) 283-4929.
- Who is the authorized official for Origin Health & Longevity PLLC?
- The authorized official listed on Origin Health & Longevity PLLC's NPPES record is Samuel Buttars, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Origin Health & Longevity PLLC's NPI active?
- Yes — Origin Health & Longevity PLLC's NPI (1174453757) is active in the NPPES registry as of the last update on 2026-05-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.