Transformative Journey Healthcare

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

TRANSFORMATIVE JOURNEY HEALTHCARE

Practice address

749 Oxford Dr
Idaho Falls, ID 83401-4203

Phone

(208) 701-2777

NPI assigned

Jul 3, 2024

Organization subpart

No

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

Authorized official

Name

Michelle Smith, FNP-C, DIPACLMNPI 1801934831

Title

Owner

Phone

(208) 701-2777

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michelle Rae Smith, FNP-C

  • Family Nurse Practitioner
  • Idaho Falls, ID
  • NPI 1801934831
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1719964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719964800000",
    "number": "1154167682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "749 OXFORD DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014203",
            "telephone_number": "208-701-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "749 OXFORD DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014203",
            "telephone_number": "208-701-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIVE JOURNEY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-03",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-701-2777",
        "authorized_official_credential": "FNP-C, DIPACLM"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Total Renal Care Inc (Taylor Crossing Dialysis Center)
• Total Renal Care Inc (Gem State Dialysis)
• Candice Laree Tovey, DPT
• Bobbi Lynn Tracy
• Huong Tran, M.D.
• Transitions, Inc.
• Kevin Paul Trappett Jr., DO
• Lynne J. Trauntvein, NP
• Matthew P Traynor, M.D.
• Aspen Treadway

• Family Nurse Practitioner in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.