Kyle Hildreth, BA

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Practice address

543 3Rd St
Idaho Falls, ID 83401-3909

Phone

(208) 522-6925

Fax

(208) 522-6934

NPI assigned

Sep 24, 2013

Last updated

Sep 24, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Padron Counseling Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Idaho Falls, ID
  • NPI 1649606575
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1379980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379980800000",
    "number": "1750717609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 MALORY DR",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834025056",
            "telephone_number": "208-403-8963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 3RD ST",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834013909",
            "telephone_number": "208-522-6925",
            "fax_number": "208-522-6934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILDRETH",
        "first_name": "KYLE",
        "credential": "BA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-24",
        "last_updated": "2013-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• High Valley Dermatology & Dermatologic Surgery PLLC
• High Valley Dermatology & Dermatologic Surgery, PC
• Andrew Joseph Higham, DDS
• Jordan Higham, DDS
• Douglas James Hilborn, OD
• Hill-Rom Company, Inc
• Annette Renee Hill, M.P.T.
• David Lyle Hill, DO
• Deborah Hill, P.N.P.
• Eric Hill

• Case Management Agency in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Case Management Agency in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.