Samuel Kent Buttars, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

7271586 Issued in ID

Practice address

4686 N Alameda Creek Ave
Meridian, ID 83646-2017

Phone

(208) 283-4929

NPI assigned

Oct 30, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Origin Health & Longevity PLLC

  • Nurse Practitioner
  • Meridian, ID
  • NPI 1174453757
  NPD Authorized official

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1629947635",
    "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": [
        {
            "address_1": "1181 S Silverstone Way Ste 100",
            "address_purpose": "LOCATION",
            "city": "Meridian",
            "state": "ID",
            "postal_code": "836421281",
            "country_code": "US",
            "telephone_number": "208-866-1402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUTTARS",
        "first_name": "SAMUEL",
        "middle_name": "KENT",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-30",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "7271586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krista Marie Bush, FNP-C
• Mackenzie Busick
• Brenna Butler, DNP, FNP-C
• Melissa Erin Butler
• Benjamin Rodney Buttars, DO
• Casey Scott Butterfield, DDS
• David Butuk, MD
• Emily Rose Buyer, DPT
• BVB Anesthesia Inc
• Shawna Lee Byington, PHARM.D.

• 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 Apr 6, 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.