NPI age
6 years
Enumerated 2019-06-26
● Active
Type 1 · Individual
Katie Elizabeth Nichols, PA-C
Nichols is 1 of 5 physician assistant providers in Nampa and 1 of 97 in Idaho.
Primary specialty
Physician Assistant
Plus 2 subspecialties
Licensed in
ID, FL
2 states
Status
Active
No deactivations on record
Last NPPES update
2023-09-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 97 active physician assistant providers in Idaho.
NPI age
6 years
↓ 7 yr below median (13 yr)
State licenses
2 states
Top 76% — 23% of peers are multi-state
Subspecialties
0
56% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-06Enumerated in NPPES
2019
2026
Where they practice
Practice location
4400 E Flamingo Ave Ste 200
Nampa, ID 836879203
Mailing address
Po Box 190930
Boise, ID 837190930
Additional practice locations
1 secondary location on file with NPPES.
Location 2
1072 N Liberty St Ste 201
Boise, ID 83704
Specialties
-
Physician Assistant PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 103724800 |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 12 other active providers share this practice address in NPPES.
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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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.