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

Kyle A Roth, NP

Individual provider Family Nurse Practitioner · NPI 1659238822

Kyle A Roth, NP is a Nurse Practitioner in Pocatello, Idaho. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Idaho.

Years since qualifying
1
Licensed in
ID
In the registry since
2026
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

444 Hospital Way Ste 422
Pocatello, ID 83201-2744
Phone: (208) 423-8132
Fax: (208) 203-6420
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 79 N Main St, Downey, ID 83234-4703 — (208) 232-7862

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 4271998 (ID)

Record details

NPI number1659238822
Entity typeIndividual (Type 1)
GenderMale
Credentials NP
Sole proprietorNo
NPI enumeratedJanuary 8, 2026
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026
Mailing address444 Hospital Way Ste 422, Pocatello, ID 83201-2744

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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