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KELLEY TILLOTSON R.N., BSN
NPI 1346602091
Registered Nurse - Psychiatric/Mental Health, Adult in Pocatello, ID

Active since March 22, 2016
421 MEMORIAL DR, POCATELLO, ID 83201(208) 234-7954(208) 236-6328 Get Directions Write a Review

NPPES record last updated: March 22, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelley Tillotson R.n., Bsn NPPES

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

KELLEY TILLOTSON R.N., BSN (NPI 1346602091) is an individual psychiatric/mental health, adult provider in Pocatello, Idaho, licensed in Idaho (26756) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1346602091
Entity TypeIndividualFemale
Primary Taxonomy163WP0809X
Provider Legal NameKELLEY TILLOTSONCredential: R.N., BSN
Location Address421 MEMORIAL DRPocatello, ID 83201-4008
Mailing Address421 Memorial DrPocatello, ID 83201-4008 · (208) 234-7954 · Fax (208) 236-6328
Phone(208) 234-7954
Fax(208) 236-6328
Sole ProprietorNo
Enumeration DateMarch 22, 2016
✔ NPI 1346602091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental Health, AdultNursing Service Providers
Taxonomy Code163WP0809X
License✔ Licensed in ID · 26756
421 MEMORIAL DR, Pocatello, ID 83201
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Other Providers at the Same Location NPPES 20

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

RACHEL MILLER
Developmental Therapist
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7962
BRAUN INSLEE LMHC, LPC
Counselor (Mental Health)
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 282-2434
MICHELE JOANN OSMOND LCPC
Counselor (Professional)
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7917
JESSICA STURMAN
Developmental Therapist
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7939
DANSON S. HALL DPT
Physical Therapist
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7928
IDAHO DEPT OF HEALTH & WELFARE ITP REGION 6
Early Intervention Provider Agency
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7900
ANNE MILLER LCSW
Social Worker (Clinical)
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7900
IDAHO DEPT OF HEALTH & WELFARE REG 6 AMH PSR POC
Clinic/Center (Mental Health (Including Community Mental Health Center))
421 MEMORIAL DR
POCATELLO, ID 83201
Bannock County (208) 234-7900

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 Kelley Tillotson's NPI number?

The NPI number for Kelley Tillotson is 1346602091. It was assigned to this individual provider in the NPPES registry on March 22, 2016.

Where is Kelley Tillotson located?

Kelley Tillotson practices at 421 Memorial Dr, Pocatello, ID 83201. The listed phone number is (208) 234-7954.

What is Kelley Tillotson's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 163WP0809X.

When was this NPI record last updated?

The NPPES record for Kelley Tillotson was last updated on March 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.