Individual provider Active NPI

Kandiss L Inman, WHNP-BC, MSN, MSCP

  • Women's Health Nurse Practitioner
  • Boise, ID
National Provider Identifier
1558620781
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
NP-1050A Issued in ID
Practice address
10280 W Ustick Rd
Boise, ID 83704-5270
Phone
(208) 780-9295
Fax
(855) 490-9559
NPI assigned
May 8, 2012
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X NUR-APRN-LIC-238567 MT
Women's Health Nurse Practitioner 363LW0102X NP-1050A ID Primary
Registered Nurse 163W00000X N-38712 ID
Registered Nurse 163W00000X NP-1050A ID

Addresses

Primary practice location

10280 W Ustick Rd
Boise, ID 83704-5270

Mailing address

10280 W Ustick Rd
Boise, ID 83704-5270
Phone (208) 780-9295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
N-38712IDMDRegistered Nurse
NUR-APRN-LIC-238567MTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Illumination Women's Health PLLC Women's Health CurrentSince Oct 15, 2023 Accepting new patients

Locations

10280 W Ustick Rd
Boise, ID 83704
Phone (208) 780-9295

1553 N Milwaukee St
Boise, ID 83704

4477 W Emerald St
Ste C200
Boise, ID 83706
Phone (208) 780-9295

520 W Idaho St
Ste 202
Boise, ID 83702

Interoperability endpoints

  • Direct secure messaging: kinman150296@direct.trinity-health.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1558620781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10280 W USTICK RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045270",
            "telephone_number": "208-780-9295",
            "fax_number": "855-490-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10280 W USTICK RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837045270",
            "telephone_number": "208-780-9295",
            "fax_number": "855-490-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INMAN",
        "first_name": "KANDISS",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "WHNP-BC, MSN, MSCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-08",
        "last_updated": "2025-08-05",
        "certification_date": "2025-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MT",
            "license": "NUR-APRN-LIC-238567",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "ID",
            "license": "NP-1050A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "N-38712",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "NP-1050A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.