NPI age
7 years
Enumerated 2018-07-24
● Active
Type 1 · Individual
Kelly Moore, NP
Moore is 1 of 79 nurse practitioner providers in Boise and 1 of 374 in Idaho.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2023-03-21
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 374 active nurse practitioner providers in Idaho.
NPI age
7 years
↑ 3 yr above median (4 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
1
In the 34% of peers with subspecialties
NPI lifetime · 2018 → 2026
2018-07Enumerated in NPPES
2018
2026
Where they practice
Practice location
703 S Americana Blvd Ste 150
Boise, ID 837024976
Mailing address
190 E Bannock St
Boise, ID 837126241
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3280 E Lanark Dr
Meridian, ID 836425982
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse Practitioner(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum...
Practice context
Part of a multi-provider practice. 9 other active providers share this practice address in NPPES.
Recently enumerated nearby: 4 new nurse practitioner providers have been added in Boise in the last 180 days.
See all →
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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