1. Home
  2. Directory
  3. Idaho
  4. Falls
  5. Nurse Practitioner
  6. NPI Profile

EAST IDAHO WOUND CARE LLC
NPI 1407748510
Nurse Practitioner - Family in Idaho Falls, ID

Active since July 15, 2025
1005 TERRY DR, IDAHO FALLS, ID 83404(208) 541-8879 Get Directions Write a Review

NPPES record last updated: July 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About East Idaho Wound Care Llc NPPES

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

EAST IDAHO WOUND CARE LLC (NPI 1407748510) is a healthcare organization registered as a family in Idaho Falls, Idaho and active in the NPI registry since July 2025. The organization lists Justin Kyler Croft, Np, as its authorized official.

NPPES Registry Identity

NPI1407748510
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameEAST IDAHO WOUND CARE LLC
Location Address1005 TERRY DRIdaho Falls, ID 83404-5122
Mailing Address1005 Terry DrIdaho Falls, ID 83404-5122 · (208) 541-8879
Phone(208) 541-8879
Organization SubpartNo
Authorized OfficialJustin Kyler CroftNp · (208) 541-8879
Enumeration DateJuly 15, 2025
NPPES CertifiedJuly 15, 2025
✔ NPI 1407748510 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1005 TERRY DR, Idaho Falls, ID 83404
Open in Google Maps ↗

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 East Idaho Wound Care LLC's NPI number?

The NPI number for East Idaho Wound Care LLC is 1407748510. It was assigned to this organization in the NPPES registry on July 15, 2025.

Where is East Idaho Wound Care LLC located?

East Idaho Wound Care LLC is located at 1005 Terry Dr, Idaho Falls, ID 83404. The listed phone number is (208) 541-8879.

What is East Idaho Wound Care LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for East Idaho Wound Care LLC was last updated on July 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.