Wildflower OBGYN LLC

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

WILDFLOWER OBGYN LLC

Practice address

341 E Bannock St
Boise, ID 83712-6208

Phone

(208) 279-1099

NPI assigned

Aug 26, 2025

Last updated

Dec 8, 2025By 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

Jennifer Hudson, DONPI 1265627319

Title

Owner / DO

Phone

(208) 279-1098

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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.

• Jennifer Lynn Hudson, D.O.

  • Obstetrics & Gynecology Physician
  • Mountain Home AFB, ID
  • NPI 1265627319
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1756166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765152000000",
    "number": "1164300216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "341 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126208",
            "telephone_number": "208-279-1099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "341 E BANNOCK ST",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837126208",
            "telephone_number": "208-279-1099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILDFLOWER OBGYN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-26",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER / DO",
        "authorized_official_telephone_number": "208-279-1098",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wild Heart Living
• Wild Milk PLLC (Wild Milk Co.)
• Wild Sage Counseling & Wellness PLLC
• Randy Wild, LCPC
• Wildflower Intuitive Center, LLC
• Wildflower Telehealth Network Inc.
• Brandon J Wilding, M.D.
• Victoria Chlarson Wilding, MD
• Ann Marie Wildman, CTRS
• Wildwood Pelvic Health

• Obstetrics & Gynecology Physician in Boise, ID
• Providers in Boise, ID by specialty
• Obstetrics & Gynecology Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.