NPI age
9 years
Enumerated 2016-09-07
● Active
Type 1 · Individual
MRS. Lynnette Michelle Khandaker, APRN-NP
Khandaker is 1 of 22 nurse practitioner providers in Boise and 1 of 79 in Idaho.
Primary specialty
Nurse Practitioner
Plus 4 subspecialties
Licensed in
ID, AZ
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-07-16
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 79 active nurse practitioner providers in Idaho.
NPI age
9 years
↑ 2 yr above median (7 yr)
State licenses
2 states
Top 87% — 12% of peers are multi-state
Subspecialties
4
In the 39% of peers with subspecialties
NPI lifetime · 2016 → 2026
2016-09Enumerated in NPPES
2016
2026
Where they practice
Practice location
10112 W Overland Rd
Boise, ID 837091428
Mailing address
10112 W Overland Rd
Boise, ID 837091428
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
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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...
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Nurse PractitionerDefinition to come...
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Nurse PractitionerDefinition to come...
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Registered NurseDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (ID) | 1477920270 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 14 other active providers share this practice address in NPPES.
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Request a quote →How to verify this provider
- 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.