LILY PAD WELLNESS, LLC
NPI 1275214660
Nurse Practitioner in Pocatello, ID

Q: What is Lily Pad Wellness, LLC's NPI number?

The NPI number for Lily Pad Wellness, LLC is 1275214660. It was assigned to this organization in the NPPES registry on July 27, 2023.

Q: What is Lily Pad Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since July 27, 2023

1951 BENCH RD STE A, POCATELLO, ID 83201(208) 549-7385(208) 216-6761 Get Directions Write a Review

NPPES record last updated: July 27, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lily Pad Wellness, Llc NPPES

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

LILY PAD WELLNESS, LLC (NPI 1275214660) is a healthcare organization registered as a nurse practitioner in Pocatello, Idaho and active in the NPI registry since July 2023. The organization lists Stephanie A Clark, Owner, as its authorized official.

NPPES Registry Identity

NPI1275214660

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameLILY PAD WELLNESS, LLC

Location Address1951 BENCH RD STE APocatello, ID 83201-2073

Mailing Address1951 Bench Rd Ste APocatello, ID 83201-2073 · (208) 549-7385 · Fax (208) 216-6761

Phone(208) 549-7385

Fax(208) 216-6761

Organization SubpartNo

Authorized OfficialStephanie A ClarkOwner · (208) 549-7385

Enumeration DateJuly 27, 2023

NPPES CertifiedJuly 27, 2023

✔ NPI 1275214660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1951 BENCH RD STE A, Pocatello, ID 83201

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Lily Pad Wellness, LLC's NPI number?

The NPI number for Lily Pad Wellness, LLC is 1275214660. It was assigned to this organization in the NPPES registry on July 27, 2023.

Where is Lily Pad Wellness, LLC located?

Lily Pad Wellness, LLC is located at 1951 Bench Rd Ste A, Pocatello, ID 83201. The listed phone number is (208) 549-7385.

What is Lily Pad Wellness, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Lily Pad Wellness, LLC was last updated on July 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.