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.
Organization
ROTH FAMILY MEDICINE AND MENTAL HEALTH
Active
Organization
ROTH FAMILY MEDICINE AND MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYLE ABRAHAM ROTH FNP (AUTHORIZED OFFICIAL)
(208) 423-8132
Entity
Organization
Contact information
Practice address
444 HOSPITAL WAY STE 422, POCATELLO, ID 83201-2744
(208) 423-8132
(208) 203-6420
Mailing address
444 HOSPITAL WAY STE 422, POCATELLO, ID 83201-2744
(208) 423-8132
(208) 203-6420
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
NULL
363L00000X
Nurse Practitioner
Primary
—
NULL
363L00000X
Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
NULL
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/24/2026
Last updated
06/11/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers