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TRANSFORMATIVE JOURNEY HEALTHCARE
NPI 1154167682
Nurse Practitioner - Family in Idaho Falls, ID

Active since July 03, 2024CLIA 13D2312261 · Waiver
749 OXFORD DR, IDAHO FALLS, ID 83401(208) 701-2777 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Transformative Journey Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRANSFORMATIVE JOURNEY HEALTHCARE (NPI 1154167682) is a healthcare organization registered as a family in Idaho Falls, Idaho and active in the NPI registry since July 2024. The organization holds a CLIA Waiver certificate valid through October 7, 2026 and lists Michelle Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1154167682
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameTRANSFORMATIVE JOURNEY HEALTHCARE
Location Address749 OXFORD DRIdaho Falls, ID 83401-4203
Mailing Address749 Oxford DrIdaho Falls, ID 83401-4203 · (208) 701-2777
Phone(208) 701-2777
Organization SubpartNo
Authorized OfficialMichelle SmithOwner · (208) 701-2777
Enumeration DateJuly 3, 2024
NPPES CertifiedJuly 3, 2024
✔ NPI 1154167682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X
749 OXFORD DR, Idaho Falls, ID 83401
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include University of Utah Health Plans.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 13D2312261

Transformative Journey Healthcare · Idaho Falls, ID
Active · expires Oct 7, 2026
CLIA Number13D2312261
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorMichelle R. Smith
Laboratory Phone(208) 701-2777
Laboratory LocationTransformative Journey Healthcare749 Oxford Dr, Idaho Falls, ID 83401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRENT CLINE DDS PLLC
Clinic/Center (Dental)
749 OXFORD DR
IDAHO FALLS, ID 83401
Bonneville County (208) 529-0420
OXFORD DENTAL CARE
Dentist (General Practice)
749 OXFORD DR
IDAHO FALLS, ID 83401
Bonneville County (208) 529-0420
MICHELLE RAE SMITH FNP-C
Nurse Practitioner (Family)
749 OXFORD DR
IDAHO FALLS, ID 83401
Bonneville County (208) 701-2777
WILLIAM EDWIN PEARSON DDS
Dentist (General Practice)
749 OXFORD DR
IDAHO FALLS, ID 83401
Bonneville County (208) 529-0420

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Transformative Journey Healthcare's NPI number?

The NPI number for Transformative Journey Healthcare is 1154167682. It was assigned to this organization in the NPPES registry on July 3, 2024.

Where is Transformative Journey Healthcare located?

Transformative Journey Healthcare is located at 749 Oxford Dr, Idaho Falls, ID 83401. The listed phone number is (208) 701-2777.

What is Transformative Journey Healthcare's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Does Transformative Journey Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 13D2312261) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Transformative Journey Healthcare accept?

Health plans from University of Utah Health Plans list Transformative Journey Healthcare as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Transformative Journey Healthcare was last updated on July 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.