NPI age
5 years
Enumerated 2020-08-04
● Active Type 2 · Organization
Rocky Mountain Womens Clinic Llc
Rocky Mountain Womens Clinic Llc is 1 of 138 midwife organizations in Idaho.
Primary specialty
Midwife
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Owner
Last NPPES update
2020-11-02
Source: monthly bulk 2026-05
How this organization compares
Across 138 active midwife providers in Idaho.
NPI age
5 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 12% of peers with subspecialties
NPI lifetime · 2020 → 2026
2020-08Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
2065 E 17th St Ste A
Idaho Falls, ID 834048042
Mailing address
Po Box 2578
Idaho Falls, ID 834032578
Authorized official
Kylee Johnson, CNM
Owner
📞 2084970541
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Neil Burraston, DO General Practice NPI 1760131841
- Kylee Johnson, APRN, CNM, WHNP Nurse Practitioner NPI 1538636121
- Ryan McBride Nurse Practitioner NPI 1083297220
- Dimitri Shchadenko, FNP Nurse Practitioner NPI 1104489343
- Ashley Whitlow, FNP Nurse Practitioner NPI 1275169252
Specialties
-
Midwife PrimaryA Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the...
-
Nurse PractitionerDefinition to come...
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.