Individual provider Active NPI

Kelly Kandes-Myers, FNP-C

  • Family Nurse Practitioner
  • Meridian, ID
National Provider Identifier
1922959402
Registry record updated Feb 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4771790 Issued in ID
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

Updated by the provider on Feb 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4771790IDMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
East to West Family Medicine Family PastSince Jan 31, 2025 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.

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.

Verify at the official NPI Registry.