Summit Longevity & Aesthetics PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

SUMMIT LONGEVITY & AESTHETICS PLLC

Practice address

3991 E 400 N
BLDG 500a
Rigby, ID 83442

Phone

(208) 851-0049

NPI assigned

Oct 27, 2026

Last updated

Oct 27, 2026By 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

Jessica Heddinger, MSN,APRN,FNP-CNPI 1518865849

Title

Owner/ Family Nurse Practitioner

Phone

(208) 851-0049

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.

• Jessica Heddinger, FNP-C

  • Family Nurse Practitioner
  • Rigby, ID
  • NPI 1518865849
  NPD (past) Authorized official

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

{
    "created_epoch": "1793059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793059200000",
    "number": "1336047679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 644",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "834420644",
            "telephone_number": "208-851-0049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3991 E 400 N",
            "address_2": "BLDG 500A",
            "city": "RIGBY",
            "state": "ID",
            "postal_code": "83442",
            "telephone_number": "208-851-0049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT LONGEVITY & AESTHETICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-27",
        "last_updated": "2026-10-27",
        "certification_date": "2026-10-23",
        "status": "A",
        "authorized_official_last_name": "HEDDINGER",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "OWNER/ FAMILY NURSE PRACTITIONER",
        "authorized_official_telephone_number": "208-851-0049",
        "authorized_official_credential": "MSN,APRN,FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Kelsey Tapp, MA
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• Clinton J Thackeray

• Primary Care Clinic/Center in Rigby, ID
• Providers in Rigby, ID by specialty
• Primary Care Clinic/Center in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 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.