Journey Healthcare LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

JOURNEY HEALTHCARE LLC

Doing business as

Wellness and Aesthetics Clinic of Idaho

Practice address

1965 S Eagle Rd Ste 180
Meridian, ID 83642-9246

Phone

(986) 666-3866

Fax

(986) 666-3038

NPI assigned

Jun 23, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Alexandria Mwanga, DNP, FNP-CNPI 1336815562

Title

Medical Director

Phone

(208) 380-9906

Specialties & licenses 2

Addresses

Other names 1

• Wellness and Aesthetics Clinic of Idaho Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Alexandria W. Mwanga, DNP, FNP-C

  • Nurse Practitioner
  • Meridian, ID
  • NPI 1336815562

  Health & Wellness Coach

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734652800000",
    "number": "1063143659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1965 S EAGLE RD STE 180",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429246",
            "telephone_number": "986-666-3866",
            "fax_number": "986-666-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1965 S EAGLE RD STE 180",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836429246",
            "telephone_number": "986-666-3866",
            "fax_number": "986-666-3038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOURNEY HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-23",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A",
        "authorized_official_last_name": "MWANGA",
        "authorized_official_first_name": "ALEXANDRIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "208-380-9906",
        "authorized_official_credential": "DNP, FNP-C"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness and Aesthetics Clinic of Idaho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heidi Jorgensen, MS, LMFT, LPC
• Samuel Steven Jorgenson, M.D.
• Hanna Songer Jorns, DC, CD(DONA)
• Angelina Joseph, LPC
• Devangi Divyangkumar Joshi
• Journey Mental Health
• Journey Mental Health, Inc.
• Joy Care Unit LLC
• Joy Care Unit LLC
• Matthew H Joyce, MD

• Family Medicine Physician in Meridian, ID
• Providers in Meridian, ID by specialty
• Family Medicine Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.