MRS. KANDISS L INMAN (NPI# 1558620781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558620781 |
| Entity Type | Individual |
| Full Name | MRS. KANDISS L INMAN |
| Credential | NP |
| Practice Address |
1072 N Liberty St Suite 100 Boise ID 83704-8708 |
| Mailing Address |
3340 E Goldstone Way Meridian ID 83642-1026 |
| Practice Telephone | 2083021200 |
| Practice Fax Number | 2083021255 |
| Mailing Telephone | 2083021200 |
| Mailing Fax Number | 2083021255 |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2016-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | NP-1050A | ID | Nursing Service Providers |
| N | 163W00000X | Registered Nurse | N-38712 | ID | Nursing Service Providers |
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
NP-1050A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1072 N LIBERTY ST SUITE 100 |
| City | BOISE |
| State | ID |
| Zip Code | 83704-8708 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487640561 | James D Redshaw | Psychiatry & Neurology | 1072 N Liberty St, Suite 303, Boise, ID 83704-2800 | 2005-09-23 |
| 1316333107 | Karissa Deann Keenan | Obstetrics & Gynecology | 1072 N Liberty St, Ste 100, Boise, ID 83704 | 2015-04-08 |
| 1891184115 | Kristin Schmitt Gomes | Advanced Practice Midwife | 1072 N Liberty St, Ste 100, Boise, ID 83704 | 2015-01-12 |
| 1619385119 | Jessica M Herr | Nurse Practitioner | 1072 N Liberty St, Ste 200, Boise, ID 83704 | 2014-07-28 |
| 1093126229 | Colin Alan Lyness | Psychiatry & Neurology | 1072 N Liberty St, Ste 303, Boise, ID 83704 | 2014-05-09 |
| 1215362785 | Heather Ann Wilcke | Nurse Practitioner | 1072 N Liberty St, Suite 303, Boise, ID 83704-2800 | 2013-09-03 |
| 1396188751 | Donraphael Wynn | Ophthalmology | 1072 N Liberty St, Ste 303, Boise, ID 83704 | 2013-04-16 |
| 1518214154 | Heather Marie Johnson | Nurse Practitioner | 1072 N Liberty St, Suite 203, Boise, ID 83704-8708 | 2012-08-14 |
| 1942568118 | Daniel Prior | Surgery | 1072 N Liberty St, Ste 300, Boise, ID 83704 | 2012-04-25 |
| 1962709550 | Jane Kelsey Spencer | Clinical Nurse Specialist | 1072 N Liberty St, Suite 303, Boise, ID 83704-2800 | 2011-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477714285 | Kara Kelly Hill | Nurse Practitioner | 111 Main St Ste 100, Boise, ID 83702-7307 | 2008-06-24 |
| 1144325572 | Annie C Fife | Nurse Practitioner | 500 W. Fort St, Boise, ID 83702 | 2006-09-13 |
| 1508837154 | Mary Stone-arave | Nurse Practitioner | 222 N 2nd St Ste 206, Boise, ID 83702-6130 | 2006-01-31 |
| 1316927635 | Joyce Ellen Zimmerman-golden | Nurse Practitioner | 1000 E Park Blvd Idaho Center for Reproductive Medicine, Suite 110, Boise, ID 83712 | 2006-01-20 |
| 1831670629 | Kristen Elizabeth Kolnes | Nurse Practitioner | 12400 W Overland Rd, Boise, ID 83709-0021 | 2018-08-28 |
| 1073952016 | Hannah Elisabeth Underdahl | Nurse Practitioner | 121 E Fort St, Boise, ID 83712-6322 | 2013-06-24 |
| 1528282092 | Eileen Gale Swanson | Nurse Practitioner | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2007-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356678106 | Clea K. Mefford | Nurse Practitioner | 1408 Pomerelle Ave # H, Burley, ID 83318-2064 | 2009-11-13 |
| 1265617849 | Selkirk Family Medicine & Womens Health Pllc | Nurse Practitioner | 1215 Michigan St Ste C, Sandpoint, ID 83864-5014 | 2008-01-02 |
| 1538238506 | Pamela Jan Tilaro | Nurse Practitioner | 8500 N. Atlas Rd, Hayden, ID 83835-8332 | 2006-11-06 |
| 1922197946 | Cynthia W Dalsing | Nurse Practitioner | 1215 Michigan St, Suite C, Sandpoint, ID 83864-5014 | 2006-10-11 |
| 1679688030 | Healing Arts Women's Clinic, Pa | Nurse Practitioner | 222 W Iowa Ave Ste 225, Nampa, ID 83686-6815 | 2006-08-19 |
| 1508886425 | Mary Gerard Battaglia | Nurse Practitioner | 1112 Ironwood Dr, Coeur D Alene, ID 83814 | 2006-07-21 |
| 1013936541 | Susan P Stutzman | Nurse Practitioner | 215 10th St, Lewiston, ID 83501-1912 | 2006-07-18 |
| 1871560995 | Mary R Fiedler | Nurse Practitioner | 1020 Michigan St, Sandpoint, ID 83864-1788 | 2006-03-07 |
| 1104436195 | Rocky Mountain Womens Clinic LLC | Nurse Practitioner | 2065 E 17th St Ste A, Idaho Falls, ID 83404-8042 | 2020-08-04 |
| 1427514991 | Brittany Elizabeth Quinn | Nurse Practitioner | 1550 Elk Creek Dr, Idaho Falls, ID 83404-8322 | 2019-02-20 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MRS. KANDISS L INMAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.