Organization Active NPI

Medical Solutions Health and Wellness LLC

  • Family Medicine Physician
  • Meridian, ID
National Provider Identifier
1649965336
Registry record updated Oct 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MEDICAL SOLUTIONS HEALTH AND WELLNESS LLC
Practice address
1550 N Crestmont Dr
Meridian, ID 83642-2184
Phone
(801) 574-5277
NPI assigned
Apr 7, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2024

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

Authorized official

Name
Mrs. Kimberley Helen Odom, RNP-CNPI 1659806941
Title
Co-Owner
Phone
(801) 574-5277

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1550 N Crestmont Dr
Meridian, ID 83642-2184

Mailing address

1550 N Cresmont Dr
Suite G
Meridian, ID 83642
Phone (208) 629-2023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231102003984 ID Part B Supplier - Clinic/Group Practice 1456713353 Receives reassigned benefits from 1 practitioner
Practice locations: Meridian, ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680825600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730073600000",
    "number": "1649965336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 N CRESMONT DR",
            "address_2": "SUITE G",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "83642",
            "telephone_number": "208-629-2023",
            "fax_number": "208-759-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 N CRESTMONT DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836422184",
            "telephone_number": "801-574-5277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SOLUTIONS HEALTH AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-07",
        "last_updated": "2024-10-28",
        "certification_date": "2024-10-23",
        "status": "A",
        "authorized_official_last_name": "ODOM",
        "authorized_official_first_name": "KIMBERLEY",
        "authorized_official_middle_name": "HELEN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "801-574-5277",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meridian, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.