Traci Kettle
NPI 1679622971 · Marriage & Family Therapist · Idaho Falls, ID
Enrolled with Medicare as Practitioner - Marriage and Family Therapist · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Traci Kettle is a Marriage & Family Therapist provider in Idaho Falls, ID (NPI 1679622971).
Provider details
- NPI number
- 1679622971
- Entity type
- Individual
- Primary specialty
- Marriage & Family TherapistBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 4694 (ID)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2025-12-09
- Certified
- 2025-12-09
Frequently asked questions
- What is Traci Kettle's NPI number?
- Traci Kettle's National Provider Identifier (NPI) is 1679622971, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Traci Kettle's specialty?
- Traci Kettle is listed in the NPPES registry with a primary specialty of Marriage & Family Therapist (Behavioral Health & Social Service Providers).
- Where is Traci Kettle located?
- Traci Kettle's practice location on file with NPPES is 211 S Woodruff Ave Ste A3, Idaho Falls, ID 83401-4865.
- What is Traci Kettle's phone number?
- The practice phone number listed in the NPPES registry for Traci Kettle is (208) 524-4818.
- Does Traci Kettle accept Medicare?
- Traci Kettle is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Traci Kettle's NPI active?
- Yes — Traci Kettle's NPI (1679622971) is active in the NPPES registry as of the last update on 2025-12-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.