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NPI 1619469525
● Active Type 2 · Organization
Subpart
North Canyon Medical Center, Inc.
Health Educator · Gooding, ID · NPI 1619469525
·
Enumerated 2018 · 7 years on NPI
North Canyon Medical Center, Inc. is 1 of 41 health educator organizations in Idaho.
NPI age
7 years
Enumerated 2018-06-06
Primary specialty
Health Educator
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Powers
Chief Executive Officer
Last NPPES update
2018-06-06
Source: monthly bulk 2026-05
How this organization compares
Across 41 active health educator providers in Idaho.
NPI age
7 years
≈ at median (8 yr)
Practice locations
1
0 secondary on file
NPI lifetime · 2018 → 2026
2018-06 Enumerated in NPPES
2018
2026
Where they practice
Primary practice location
267 N Canyon Dr
Gooding, ID 833305500
📞 2089349886 fax 2087353718
Mailing address
267 N Canyon Dr
Gooding, ID 833305500
📞 2089349886 fax 2087353718
Authorized official
Timothy L Powers
Chief Executive Officer
📞 2089348765
Individual providers at this organization
20 individual providers on file at this primary practice address.
Celina Arroyo
Occupational Therapist
NPI 1710823901
Brandi Bartholomew , NP
Nurse Practitioner
NPI 1437835287
Monlo Beck , DPT
Physical Therapist
NPI 1821321092
Jordan Bell , CRNA
Nurse Anesthetist, Certified Registered
NPI 1669203840
Greg Boettcher , DO
Family Medicine
NPI 1508899295
Benjamin Burtenshaw , PA-C
Physician Assistant
NPI 1437455318
Alicia Cardona , PA-C
Physician Assistant
NPI 1588011928
Jason Davis , PA
Physician Assistant
NPI 1003127374
Tammy Dayley
Technician/Technologist
NPI 1083117402
Mercedes Diaz
Health Educator
NPI 1538662895
Cooper Field , MD
Family Medicine
NPI 1679036149
Kyle Grooms , M.D.
Orthopaedic Surgery
NPI 1548680622
Matthew Ivie , PA-C
Physician Assistant
NPI 1003325937
Merri King , RN CDE
Registered Nurse
NPI 1922506146
Danielle Lofgran , CARN/ CASE MANAGER
Registered Nurse
NPI 1336996065
Reid Lofgran , DO
Family Medicine
NPI 1144321753
Tyler McOmber , OTR/L
Occupational Therapist
NPI 1346026747
Francisca Mendez
Health Educator
NPI 1497259378
Dean Nelson , DO
Family Medicine
NPI 1285749101
Nicole Odell , ARNP
Nurse Practitioner
NPI 1083025225
Specialties
Health Educator
Primary
Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health...
taxonomy 174H00000X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Medicare Diabetic Prevention Program
Type code 5
recorded 2018-06-06
Medicare Diabetic Prevention Program
Type code 5
recorded 2018-05-30
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
Subpart of North Canyon Medical Center, Inc. .
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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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.