NPI age
2 years
Enumerated 2023-07-27
● Active Type 2 · Organization
Lily Pad Wellness, Llc
Lily Pad Wellness, Llc is 1 of 658 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Clark
Owner
Last NPPES update
2023-07-27
Source: monthly bulk 2026-05
How this organization compares
Across 658 active nurse practitioner providers in Idaho.
NPI age
2 years
↓ 6 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2023 → 2026
2023-07Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
1951 Bench Rd Ste A
Pocatello, ID 832012073
Mailing address
1951 Bench Rd Ste A
Pocatello, ID 832012073
Authorized official
Stephanie A Clark, NP
Owner
📞 2085497385
Specialties
-
Nurse Practitioner Primary(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Practice context
Single-site organization. Only one practice location on file.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.