IN BALANCE: INTEGRATIVE PRIMARY HEALTHCARE PLLC
NPI 1457839730
Nurse Practitioner - Family in Pocatello, ID

Active since July 30, 2018
1017 E YOUNG ST, POCATELLO, ID 83201(208) 425-6444(208) 425-6477 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2020, Jul 30, 2018 (2 updates tracked since 2018).

About In Balance: Integrative Primary Healthcare Pllc NPPES

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

IN BALANCE: INTEGRATIVE PRIMARY HEALTHCARE PLLC (NPI 1457839730) is a healthcare organization registered as a family in Pocatello, Idaho and active in the NPI registry since July 2018. The organization lists Kathryn Jill Roth, Owner, as its authorized official.

NPPES Registry Identity

NPI1457839730
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameIN BALANCE: INTEGRATIVE PRIMARY HEALTHCARE PLLC
Location Address1017 E YOUNG STPocatello, ID 83201-5237
Mailing Address1017 E Young StPocatello, ID 83201-5237 · (208) 425-6444 · Fax (208) 425-6477
Fax(208) 425-6477
Organization SubpartNo
Authorized OfficialKathryn Jill RothOwner · (208) 242-3723
Enumeration DateJuly 30, 2018
Last NPPES UpdateApril 10, 20202 updates tracked since enumeration
NPPES CertifiedApril 10, 2020
NPI 1457839730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in ID · NP1287A
1017 E YOUNG ST, Pocatello, ID 83201

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Other Providers at the Same Location NPPES

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

Pharmacy
1017 E YOUNG ST
POCATELLO, ID 83201

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 In Balance: Integrative Primary Healthcare PLLC's NPI number?

The NPI number for In Balance: Integrative Primary Healthcare PLLC is 1457839730. It was assigned to this organization in the NPPES registry on July 30, 2018.

Where is In Balance: Integrative Primary Healthcare PLLC located?

In Balance: Integrative Primary Healthcare PLLC is located at 1017 E Young St, Pocatello, ID 83201. The listed phone number is (208) 425-6444.

What is In Balance: Integrative Primary Healthcare PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

What insurance does In Balance: Integrative Primary Healthcare PLLC accept?

Health plans from Moda Health Plan, Inc. list In Balance: Integrative Primary Healthcare PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for In Balance: Integrative Primary Healthcare PLLC was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.