OrganizationActive
Live Well Health and Nutrition PLLC
NPI 1952815623 · Clinic/Center · Boise, ID
Provider details
- NPI number
- 1952815623
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Denise Bahadar, NP, Owner(208) 861-4677
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
4700 N Cloverdale Rd Ste 103
Boise, ID 83713-1067
Phone: (208) 392-8383
Fax: (208) 493-3062
Street-level locationGet directions
Mailing address
4700 N Cloverdale Rd Ste 103
Boise, ID 83713-1067
Registry dates
- Enumerated
- 2017-11-16
- Last updated
- 2017-11-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.