OrganizationActive
Life Spring Women'S Clinic, P.A.
NPI 1265635346 · Physician Assistant · Idaho Falls, ID
Provider details
- NPI number
- 1265635346
- Entity type
- Organization
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Craig Hall, President(208) 523-8844
- License
- NP-253A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1660 John Adams Pkwy
Idaho Falls, ID 83401-4360
Phone: (208) 523-8844
Street-level locationGet directions
Mailing address
1660 John Adams Pkwy
Idaho Falls, ID 83401-4360
Registry dates
- Enumerated
- 2007-06-07
- Last updated
- 2007-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.