P Praxis·MD
● Active Type 1 · Individual

Kaitlin Cooley, FNP-C

Nurse Practitioner·Meridian, ID· NPI 1962160192 · Enumerated 2021 · 4 years on NPI
Cooley is 1 of 75 nurse practitioner providers in Meridian and 1 of 658 in Idaho.
NPI age
4 years
Enumerated 2021-12-05
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2022-08-17
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 658 active nurse practitioner providers in Idaho.

NPI age
4 years
↓ 4 yr below median (8 yr)
State licenses
1 state
16% of peers hold multiple states
Subspecialties
0
34% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-12Enumerated in NPPES
2021 2026

Where they practice

Practice location
4740 N Penngrove Way Ste 100
Meridian, ID 836467446
📞 2089383663fax 2089383664
Mailing address
4740 N Penngrove Way Ste 100
Meridian, ID 836467446
📞 2089383663fax 2089383664

Specialties

  • Nurse Practitioner Primary
    (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...
    ID license #58738 taxonomy 363L00000X

Practice context

Part of a multi-provider practice. 5 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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