Healthcare Provider Details

I. General information

NPI: 1497004279
Provider Name (Legal Business Name): KYLIE JANE HILDRETH-ROTHMEIER ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/07/2012
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 COURT STREET
ROCKWELL CITY IA
50579-1534
US

IV. Provider business mailing address

401 COURT ST
ROCKWELL CITY IA
50579-1416
US

V. Phone/Fax

Practice location:
  • Phone: 712-297-2026
  • Fax: 712-297-2019
Mailing address:
  • Phone: 712-297-2026
  • Fax: 712-297-2019

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberA-115424
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: