Kylie J Rush

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4581932 Issued in ID

Practice address

868 E Riverside Dr Ste 270
Eagle, ID 83616-6121

Phone

(208) 514-0670

Fax

(208) 549-7880

NPI assigned

Sep 30, 2026

Last updated

Sep 30, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kylie J Nebeker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1790726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1124932629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "868 E RIVERSIDE DR STE 270",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166121",
            "telephone_number": "208-514-0670",
            "fax_number": "208-549-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "868 E RIVERSIDE DR STE 270",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166121",
            "telephone_number": "208-514-0670",
            "fax_number": "208-549-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "KYLIE",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-30",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "4581932",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "ID",
            "license": "4581932",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLIE",
            "last_name": "NEBEKER",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Ryan D. Huber, O.D., P.a. (Six One Six Vision Center)
• Sage Counseling and Hypnotherapy, LLC
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• Saint Alphonsus Regional Medical Center Inc (Saint Alphonsus Rehabilitation Services)
• Saint Alphonsus Rehabilitation Services

• Nurse Practitioner in Eagle, ID
• Providers in Eagle, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.