OrganizationActive
Spark Med Spa, LLC
NPI 1376246884 · Health Service Clinic/Center · Hayden, ID
Spark Med Spa, LLC is a Health Service Clinic/Center organization in Hayden, ID (NPI 1376246884).
Provider details
- NPI number
- 1376246884
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Spark Med Spa, LLC
- Organization subpart
- Yes
- Authorized official
- Robbie Garrett, Co-Owner/Director(208) 251-2660
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
8027 N Government Way
Suite 106
Hayden, ID 83835
Phone: (208) 241-9422
Street-level locationGet directions
Mailing address
Po Box 1021
Athol, ID 83801-6009
Other names (DBA / former)
- Doing business as
- Spark Med Spa
- Doing business as
- Spark Med Spa
Additional practice locations (1)
- 1352 E Center St Ste BPocatello, ID 83201-4702Phone: (208) 241-9942
Registry dates
- Enumerated
- 2023-03-23
- Last updated
- 2025-05-28
- Certified
- 2025-05-16
Frequently asked questions
- What is Spark Med Spa, LLC's NPI number?
- Spark Med Spa, LLC's National Provider Identifier (NPI) is 1376246884, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Spark Med Spa, LLC?
- Spark Med Spa, LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Spark Med Spa, LLC located?
- Spark Med Spa, LLC's practice location on file with NPPES is 8027 N Government Way, Hayden, ID 83835.
- What is Spark Med Spa, LLC's phone number?
- The practice phone number listed in the NPPES registry for Spark Med Spa, LLC is (208) 241-9422.
- Who is the authorized official for Spark Med Spa, LLC?
- The authorized official listed on Spark Med Spa, LLC's NPPES record is Robbie Garrett, Co-Owner/Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Spark Med Spa, LLC's NPI active?
- Yes — Spark Med Spa, LLC's NPI (1376246884) is active in the NPPES registry as of the last update on 2025-05-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.