Essential Life Boise, LLC
NPI 1669727400 · Medical Specialty Clinic/Center · Boise, ID
Essential Life Boise, LLC is a Medical Specialty Clinic/Center organization in Boise, ID (NPI 1669727400).
Provider details
- NPI number
- 1669727400
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Yvonne Fedewa, Owner(208) 991-0352
- License
- CHIA1466 (ID)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES 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
- 2012-07-18
- Last updated
- 2012-07-18
Frequently asked questions
- What is Essential Life Boise, LLC's NPI number?
- Essential Life Boise, LLC's National Provider Identifier (NPI) is 1669727400, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Essential Life Boise, LLC?
- Essential Life Boise, LLC is classified in the NPPES registry as Medical Specialty Clinic/Center (Ambulatory Health Care Facilities).
- Where is Essential Life Boise, LLC located?
- Essential Life Boise, LLC's practice location on file with NPPES is 13125 W Persimmon Ln, Boise, ID 83713.
- What is Essential Life Boise, LLC's phone number?
- The practice phone number listed in the NPPES registry for Essential Life Boise, LLC is (208) 991-0352.
- Who is the authorized official for Essential Life Boise, LLC?
- The authorized official listed on Essential Life Boise, LLC's NPPES record is Yvonne Fedewa, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Essential Life Boise, LLC's NPI active?
- Yes — Essential Life Boise, LLC's NPI (1669727400) is active in the NPPES registry as of the last update on 2012-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.