Origin Health & Longevity PLLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ORIGIN HEALTH & LONGEVITY PLLC

Practice address

4686 N Alameda Creek Ave
Meridian, ID 83646-2017

Phone

(208) 283-4929

NPI assigned

May 23, 2026

Organization subpart

No

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

Authorized official

Name

Samuel Kent Buttars, NPNPI 1629947635

Title

Owner

Phone

(208) 283-4929

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.

• Samuel Kent Buttars, FNP

  • Family Nurse Practitioner
  • Meridian, ID
  • NPI 1629947635
  NPD Authorized official

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

{
    "created_epoch": "1779494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779494400000",
    "number": "1174453757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4686 N ALAMEDA CREEK AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836462017",
            "telephone_number": "208-283-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4686 N ALAMEDA CREEK AVE",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836462017",
            "telephone_number": "208-283-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN HEALTH & LONGEVITY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-23",
        "last_updated": "2026-05-23",
        "certification_date": "2026-05-22",
        "status": "A",
        "authorized_official_last_name": "BUTTARS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-283-4929",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2026; 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.