NPI age
— years
Enumerated 2025-10-20
● Active Type 2 · Organization
Rocky Mountain Wellness Clinic
Rocky Mountain Wellness Clinic is 1 of 36 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Johnson
Owner/provider
Last NPPES update
2025-10-20
Source: monthly bulk 2026-05
How this organization compares
Across 36 active clinic/center providers in Idaho.
NPI age
0 years
↓ 15 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2025 → 2026
2025-10Enumerated in NPPES
2025
2026
Where they practice
Primary practice location
2065 E 17th St Ste A
Idaho Falls, ID 834048042
Mailing address
2065 E 17th St Ste A
Idaho Falls, ID 834048042
Authorized official
Kylee Dee Johnson, APRN, CNM, WHNP
Owner/provider
📞 2089731162
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
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or...
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 →
- 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.