● Active Type 2 · Organization
Cda Wellness
Clinic/Center·Rathdrum, ID· NPI 1700616190
·
Enumerated 2024 · 1 years on NPI
Cda Wellness is 1 of 55 clinic/center organizations in Idaho.
NPI age
1 years
Enumerated 2024-08-01
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Vestman
Owner
Last NPPES update
2025-05-23
Source: monthly bulk 2026-05
How this organization compares
Across 55 active clinic/center providers in Idaho.
NPI age
1 years
↓ 8 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2024 → 2026
2024-08Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
6299 W Alliance St
Rathdrum, ID 838580139
📞 2085188111fax 2085999787
Mailing address
6299 W Alliance St
Rathdrum, ID 838580139
📞 2085188111fax 2085999787
Authorized official
Katiuska Alexandra Vestman, PMHNP
Owner
📞 2085188111
Specialties
-
Clinic/Center
Primary
Definition to come...
taxonomy 261QH0100X
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Single-site organization. Only one practice location on file.
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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.