Active NPI
Kandiss L Inman, WHNP-BC, MSN, MSCP
- Women's Health Nurse Practitioner
- Boise, ID
National Provider Identifier
1558620781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- NP-1050A
- 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, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| N-38712 | ID | MD | Registered Nurse |
| NUR-APRN-LIC-238567 | MT | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illumination Women's Health PLLC | Women's Health | Current | 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
- 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.
-
- Women's Health Nurse Practitioner
- Boise, ID
- NPI 1447032594
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
- Matthew Inglet, CRNA
- Robert G Ingram, LCSW
- Jesus Iniguez Jr.
- Initiatives Healthcare, LLC
- Injury Care Emergency Medical Services
- Innervision Counseling of Boise
- Innovative Care Pharmacy (Innovative Care Pharmacy LLC)
- Innovative Care Pharmacy (Innovative Care Pharmacy LLC)
- Innovative Health Solutions, LLC
- Lisa S. Inouye, MD
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.