Active NPI
Rocky Mountain Health and Wellness LLC
- Nurse Practitioner
- Eagle, ID
National Provider Identifier
1104983881
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP365
- Legal business name
- ROCKY MOUNTAIN HEALTH AND WELLNESS LLC
- Practice address
- 951 E Plaza Dr
Ste 110
Eagle, ID 83616-6566 - Phone
- (208) 938-5680
- Fax
- (208) 938-5679
- NPI assigned
- Jan 2, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cynthia Culp, NP
- Title
- Owner
- Phone
- (208) 938-5680
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP365 | ID | Primary |
Addresses
Primary practice location
951 E Plaza Dr
Ste 110
Eagle, ID 83616-6566
Mailing address
951 E Plaza Dr
Ste 110
Eagle, ID 83616-6566
Phone (208) 938-5680
National Provider Directory
National Provider DirectoryLocations
951 E Plaza Dr
Ste 110
Eagle, ID 83616
Phone (208) 274-9580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355443200000",
"number": "1104983881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 E PLAZA DR",
"address_2": "STE 110",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166566",
"telephone_number": "208-938-5680",
"fax_number": "208-938-5679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 E PLAZA DR",
"address_2": "STE 110",
"city": "EAGLE",
"state": "ID",
"postal_code": "836166566",
"telephone_number": "208-938-5680",
"fax_number": "208-938-5679"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROCKY MOUNTAIN HEALTH AND WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-02",
"last_updated": "2012-12-14",
"status": "A",
"authorized_official_last_name": "CULP",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "208-938-5680",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": "ID",
"license": "NP365",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.