NPI age
— years
Enumerated 2026-03-21
● Active Type 2 · Organization
Roth Family Medicine And Mental Health
Roth Family Medicine And Mental Health is 1 of 145 clinic/center organizations in Idaho.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Roth
Nurse Practitioner
Last NPPES update
2026-03-21
Source: monthly bulk 2026-05
How this organization compares
Across 145 active clinic/center providers in Idaho.
NPI age
0 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2026 → 2026
2026-03Enumerated in NPPES
2026
2026
Where they practice
Primary practice location
2890 Ridgeview Ln
Pocatello, ID 832047291
Mailing address
2890 Ridgeview Ln
Pocatello, ID 832047291
Authorized official
Kyle Abraham Roth, FNP
Nurse Practitioner
📞 5105029455
Specialties
-
Clinic/Center PrimaryA facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.