Active NPI
Kelly Kandes-Myers, FNP-C
- Family Nurse Practitioner
- Meridian, ID
National Provider Identifier
1922959402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 4771790
- Practice address
- 3224 N Meridian Rd Ste 110
Meridian, ID 83646-6232 - Phone
- (208) 395-1090
- NPI assigned
- Feb 9, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4771790 | ID | Primary |
Addresses
Primary practice location
3224 N Meridian Rd Ste 110
Meridian, ID 83646-6232
Mailing address
4578 W Fern Vista CT
Meridian, ID 83646-1434
Phone (510) 502-2697
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4771790 | ID | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East to West Family Medicine | Family | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Family Nurse Practitioner
- Boise, ID
- NPI 1801393616
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1770595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1922959402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4578 W FERN VISTA CT",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836461434",
"telephone_number": "510-502-2697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3224 N MERIDIAN RD STE 110",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836466232",
"telephone_number": "208-395-1090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANDES-MYERS",
"first_name": "KELLY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-02-09",
"last_updated": "2026-02-09",
"certification_date": "2026-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "ID",
"license": "4771790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.