# CDA WELLNESS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649130980
- **Authorized official:** KATIUSKA ALEXANDRA VESTMAN NP (OWNER)
- **Authorized official phone:** (208) 518-8111

## Contact information

- **Practice address:** 6299 W ALLIANCE ST, RATHDRUM, ID 83858-0139
- **Practice address phone:** (208) 518-8111
- **Practice address fax:** (208) 900-1075
- **Mailing address:** 6299 W ALLIANCE ST, RATHDRUM, ID 83858-0139
- **Mailing address phone:** (208) 518-8111
- **Mailing address fax:** (208) 900-1075

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 11/17/2025
- **Last updated:** 05/19/2026