Elevated Healing Services LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

ELEVATED HEALING SERVICES LLC

Practice address

1600 John Adams Pkwy Ste 101
Idaho Falls, ID 83401-4300

Phone

(208) 716-5063

Fax

(866) 661-4322

NPI assigned

Sep 9, 2025

Organization subpart

No

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

Authorized official

Name

Stephen Bird

Title

Manager

Phone

(630) 364-8144

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

Enrollment records 1

Practitioners 2

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

• Jedd Douglas Walker, FNP-C

  • Family Nurse Practitioner
  • Idaho Falls, ID
  • NPI 1326751132
  Medicare reassignment NPD
• Derek Morgan Eubanks, SLP

  • Speech-Language Pathologist
  • Logan, UT
  • NPI 1497812143
  NPD

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759795200000",
    "number": "1184505042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 SUNTERRA DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834045090",
            "telephone_number": "630-364-8144",
            "fax_number": "866-661-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 JOHN ADAMS PKWY STE 101",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834014300",
            "telephone_number": "208-716-5063",
            "fax_number": "866-661-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATED HEALING SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A",
        "authorized_official_last_name": "BIRD",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "630-364-8144"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Samantha Eitelgeorge
• Elevate Academy East Idaho
• Elevate Anesthesia LLC
• Elevation Counseling
• Elison Dental Center
• Elison Oral and Maxillofacial Surgery
• Elison Orthodontics PLLC
• Joseph Hyrum Elison, DDSMS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.