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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

SAMANTHA J. BEDOLLA
NPI 1336068618
Student in an Organized Health Care Education/Training Program in Pocatello, ID

Active since July 13, 2026
1246 YELLOWSTONE AVE STE C5, POCATELLO, ID 83201(208) 233-0150 Get Directions Write a Review

NPPES record added: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha J. Bedolla NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA J. BEDOLLA (NPI 1336068618) is an individual student in an organized health care education/training program in Pocatello, Idaho, licensed in Idaho (8081510) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1336068618
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA J. BEDOLLA
Location Address1246 YELLOWSTONE AVE STE C5Pocatello, ID 83201-4373
Mailing Address566 Randolph AvePocatello, ID 83201-3933 · (208) 546-8213
Phone(208) 233-0150
Sole ProprietorNo
Enumeration DateJuly 13, 2026
Last NPPES UpdateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
✔ NPI 1336068618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in ID · 8081510
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1246 YELLOWSTONE AVE STE C5, Pocatello, ID 83201
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PSYCHOLOGICAL ASSESSMENT SPECIALISTS
Counselor (Mental Health)
1246 YELLOWSTONE AVE STE C5
POCATELLO, ID 83201
Bannock County (208) 233-0150
CHARLES WILLIAM JENKS
Counselor
1246 YELLOWSTONE AVE STE C5
POCATELLO, ID 83201
Bannock County (208) 233-0150
CREEKSIDE HOSPICE INC.
Hospice Care, Community Based
1246 YELLOWSTONE AVE STE C5
POCATELLO, ID 83201
Bannock County (208) 637-1100
PSYCHOLOGICAL ASSESSMENT SPECIALISTS
Psychologist (Clinical)
1246 YELLOWSTONE AVE STE C5
POCATELLO, ID 83201
Bannock County (208) 233-0150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Bedolla's NPI number?

The NPI number for Samantha Bedolla is 1336068618. It was assigned to this individual provider in the NPPES registry on July 13, 2026.

Where is Samantha Bedolla located?

Samantha Bedolla practices at 1246 Yellowstone Ave Ste C5, Pocatello, ID 83201. The listed phone number is (208) 233-0150.

What is Samantha Bedolla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Samantha Bedolla was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.