P Praxis·MD
● Active Type 1 · Individual

Kellie Watson

Nurse Practitioner·Boise, ID· NPI 1992206742 · Enumerated 2018 · 8 years on NPI
Watson is 1 of 26 nurse practitioner providers in Boise and 1 of 60 in Idaho.
NPI age
8 years
Enumerated 2018-02-27
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-02-27
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 60 active nurse practitioner providers in Idaho.

NPI age
8 years
↑ 3 yr above median (5 yr)
State licenses
1 state
28% of peers hold multiple states
Subspecialties
0
50% of peers hold subspecialties

NPI lifetime · 2018 → 2026

2018-02Enumerated in NPPES
2018 2026

Where they practice

Practice location
6140 W Curtisian Ave
Boise, ID 837048880
📞 2083020130
Mailing address
3340 E Goldstone Way
Meridian, ID 836421026

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #57868 taxonomy 363LA2100X

Practice context

Part of a multi-provider practice. 21 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new nurse practitioner provider has been added in Boise in the last 180 days. See all →
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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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