DR. TRACI ALENE KETTLE
NPI 1679622971
Marriage & Family Therapist in Idaho Falls, ID
About Dr. Traci Alene Kettle NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TRACI ALENE KETTLE (NPI 1679622971) is an individual marriage & family therapist in Idaho Falls, Idaho, licensed in Idaho (4694) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2012).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Traci Alene Kettle is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
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.
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 Traci Kettle's NPI number?
The NPI number for Traci Kettle is 1679622971. It was assigned to this individual provider in the NPPES registry on January 9, 2007.
Where is Traci Kettle located?
Traci Kettle practices at 211 S Woodruff Ave Ste A3, Idaho Falls, ID 83401. The listed phone number is (208) 524-4818.
What is Traci Kettle's specialty?
The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.
Is Traci Kettle enrolled in Medicare?
Yes. Traci Kettle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
When was this NPI record last updated?
The NPPES record for Traci Kettle was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
# Dr. Traci Alene Kettle · NPI 1679622971
Marriage & Family Therapist provider in Idaho Falls, Idaho. Individual provider, active in the CMS NPPES registry since January 9, 2007.
## Identity
- **NPI:** 1679622971 (Entity type: Individual)
- **Enumerated:** January 9, 2007
- **Primary specialty:** Marriage & Family Therapist · taxonomy 106H00000X
- **State license:** 4694 (Idaho)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 211 S WOODRUFF AVE STE A3, Idaho Falls, ID 83401-4865
- **Phone:** (208) 524-4818
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 2012
## Record status
- **NPPES last updated:** December 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1679622971) · Data from the CMS NPPES public registry.