Rocky Mountain Womens Clinic LLC
NPI 1104436195ActiveOrganization· Midwife· Idaho Falls, ID
Midwife in Idaho Falls, Idaho, registered in NPPES in August 2020. The authorized official on file is Kylee Johnson, CNM, Owner.
Overview
| NPI | 1104436195 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 4, 2020 |
| Last updated in NPPES | Nov 2, 2020 |
| Certified by provider | Nov 2, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Midwife Primary | 176B00000X | — | — |
| Nurse Practitioner, Women's Health | 363LW0102X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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