NPI age
10 years
Enumerated 2016-02-05
● Active
Type 1 · Individual
Michelle L Kennedy, NP
Kennedy is 1 of 186 nurse practitioner providers in Boise and 1 of 658 in Idaho.
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, AR
2 states
Status
Active
No deactivations on record
Last NPPES update
2018-05-16
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
10 years
↑ 2 yr above median (8 yr)
State licenses
2 states
Top 83% — 16% of peers are multi-state
Subspecialties
0
34% of peers hold subspecialties
NPI lifetime · 2016 → 2026
2016-02Enumerated in NPPES
2016
2026
Where they practice
Practice location
6140 W Curtisian Ave, Ste 200
Boise, ID 83704
Mailing address
3340 E Goldstone Way
Meridian, ID 83642
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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (AR) | A004645 | STATE LICENSE |
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.
Practice context
Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.
Recently enumerated nearby: 2 new nurse practitioner providers have been added in Boise in the last 180 days.
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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.