Snake River Wellness PLLC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Legal business name

SNAKE RIVER WELLNESS PLLC

Practice address

94 N Commercial St
Glenns Ferry, ID 83623-2342

Phone

(208) 366-1200

NPI assigned

Aug 12, 2025

Organization subpart

No

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

Authorized official

Name

Carin M Howard, PA-CNPI 1356644082

Title

Owner

Phone

(208) 366-1200

Specialties & licenses 1

Addresses

Other names 1

• Snake River Wellness Other name

Locations

Practitioners 1

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

• Carin Melissa Howard, PA-C

  • Medical Physician Assistant
  • Glenns Ferry, ID
  • NPI 1356644082
  NPD Authorized official

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755648000000",
    "number": "1649156142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 102",
            "city": "GLENNS FERRY",
            "state": "ID",
            "postal_code": "836230102",
            "telephone_number": "208-366-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "94 N COMMERCIAL ST",
            "city": "GLENNS FERRY",
            "state": "ID",
            "postal_code": "836232342",
            "telephone_number": "208-366-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNAKE RIVER WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-20",
        "certification_date": "2025-08-20",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "CARIN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "208-366-1200",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Snake River Wellness",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Snake River Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Glenns Ferry Health Center, Inc.
• Carin Melissa Howard, PA-C
• Rachelle Alice Jaramillo, PA-C
• Nichole Koonce
• Ridley'S Family Markets Inc
• Stonebridge Assisted Living LLC
• TNT Apothecary LLC

• All providers in Glenns Ferry, ID
• Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2025; 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.