OrganizationActive
Rocky Mountain Wellness Clinic
NPI 1326915000 · Medical Specialty Clinic/Center · Idaho Falls, ID
Provider details
- NPI number
- 1326915000
- Entity type
- Organization
- Primary specialty
- Medical Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kylee Johnson, Owner/Provider(208) 973-1162
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
2065 E 17th St Ste a
Idaho Falls, ID 83404-8042
Phone: (208) 497-0541
Fax: (208) 497-0873
Street-level locationGet directions
Mailing address
2065 E 17th St Ste a
Idaho Falls, ID 83404-8042
Registry dates
- Enumerated
- 2025-10-20
- Last updated
- 2025-10-20
- Certified
- 2025-10-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.