Bespoke Body & Wellness

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

BESPOKE BODY & WELLNESS

Practice address

4028 N Quenzer Way
Meridian, ID 83646-5928

Phone

(208) 398-9974

NPI assigned

Feb 6, 2024

Last updated

Feb 6, 2024By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Alison Melle, NPNPI 1770501397

Title

NP/Owner

Phone

(208) 398-9974

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Alison Melle, NP-C

  • Family Nurse Practitioner
  • Boise, ID
  • NPI 1770501397
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707177600000",
    "number": "1104680602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4028 N QUENZER WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465928",
            "telephone_number": "208-398-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4028 N QUENZER WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836465928",
            "telephone_number": "208-398-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BESPOKE BODY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A",
        "authorized_official_last_name": "MELLE",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "NP/OWNER",
        "authorized_official_telephone_number": "208-398-9974",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Andrew Bergloff, D.D.S.
• William G Bergquist, MD
• Charity Kristin Berrier, CMT, ATC, LAT, NTP
• Althea Berry
• Michelle Bese
• Joshua Lee Bess II
• Amber Marie Bethke
• Katie Bettencourt, LCSW
• Nyla Betts
• Joshua Beveridge

• Family Nurse Practitioner in Meridian, ID
• Providers in Meridian, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.