Cody Kay Kirkham, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

Practice address

10798 W Overland Rd
Boise, ID 83709-1329

Phone

(208) 377-3368

NPI assigned

Aug 3, 2024

Last updated

Aug 24, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/17614/brand/1/csg/1/fhir/r4

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.

• Boise Family Medicine Center

  • Family Medicine Physician
  • Boise, ID
  • NPI 1376747790
  NPD (past)
• Boise Family Medicine, LLC

  • Family Medicine Physician
  • Boise, ID
  • NPI 1356883326
  NPD (past)

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

{
    "created_epoch": "1722643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1770313942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1958 E KNOBCONE DR",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836428115",
            "telephone_number": "208-313-0726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10798 W OVERLAND RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837091329",
            "telephone_number": "208-377-3368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKHAM",
        "first_name": "CODY",
        "middle_name": "KAY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-03",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "ID",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Leigh Kippen, DC
• Kimereng Kipchumba Kipsuge, NP
• Mark L. Kircher, L.C.P.C.
• Jennifer Anne Kirk
• Patrick Kirk, BA, MS, CPSS, CFSP
• John Charles Kirkham, MD
• Cade Kirkhart, MCOUN, LPC, NCC
• Barett Kirkman
• Mackenzie Kirkpatrick, DPT
• Michael Ryan Kirkpatrick

• Medical Physician Assistant in Boise, ID
• Providers in Boise, ID by specialty
• Medical Physician Assistant in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; 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.