Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Roth Family Medicine and Mental Health

Organization Clinic/Center · NPI 1134077357

Roth Family Medicine and Mental Health is a Clinic/Center in Pocatello, Idaho. Registered with an NPI since 2026.

In the registry since
2026

Practice location Address checks out

2890 Ridgeview Ln
Pocatello, ID 83204-7291
Phone: (510) 502-9455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1134077357
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kyle Roth — Nurse Practitioner · (510) 502-9455
NPI enumeratedMarch 21, 2026
Last updated in NPPESMarch 21, 2026
Certification dateMarch 21, 2026
Mailing address2890 Ridgeview Ln, Pocatello, ID 83204-7291

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