Fmi Center of Optimal Health

Primary specialty

Integrative Medicine PhysicianTaxonomy code 202D00000X

Legal business name

FMI CENTER OF OPTIMAL HEALTH

Practice address

435 S Eagle Rd Ste 100
Eagle, ID 83616-6018

Phone

(208) 609-9130

NPI assigned

Mar 28, 2024

Organization subpart

No

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

Authorized official

Name

Samuel Warren

Title

Ceo

Phone

(208) 385-7711

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1346091246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 S EAGLE RD STE 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166018",
            "telephone_number": "208-609-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S EAGLE RD STE 100",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166018",
            "telephone_number": "208-609-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FMI CENTER OF OPTIMAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "208-385-7711"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Alan Fleckenstein, MPT
• Gregory Lynn Flint, M.D.
• Florence Hospital, LLC (Florence Community Healthcare)
• Iris Stephany Flores, M.S.
• Courtney Nicole Flynn, NP
• Lynette Fogg
• Dani A Forbess, NTP
• Sheryl R Ford, LCSW, ACH
• Fox River Senior Living LLC (Cardinal Lane Senior Living)
• Christopher Fox, DPT

• Integrative Medicine Physician in Eagle, ID
• Providers in Eagle, ID by specialty
• Integrative Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 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.