1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

MALAIKA KIMMONS
NPI 1073454294
Student in an Organized Health Care Education/Training Program in Boise, ID

Active since April 02, 2026
500 W FORT ST, BOISE, ID 83702(208) 422-1000 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Malaika Kimmons NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MALAIKA KIMMONS (NPI 1073454294) is an individual student in an organized health care education/training program in Boise, Idaho and active in the NPI registry since April 2026.

NPPES Registry Identity

NPI1073454294
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMALAIKA KIMMONS
Location Address500 W FORT STBoise, ID 83702-4501
Mailing Address218 Presenteer TrlApex, NC 27539-6526 · (919) 924-7040
Phone(208) 422-1000
Sole ProprietorNo
Enumeration DateApril 2, 2026
NPPES CertifiedApril 2, 2026
✔ NPI 1073454294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
500 W FORT ST, Boise, ID 83702
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA ANN BERNOTSKI RDH
Dental Hygienist
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
ROBERT FISHER
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1092
LUKE DANIEL HANSEN MD
Psychiatry & Neurology (Psychiatry)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
CHRISTOPHER M GUTIERREZ
Registered Nurse (Gastroenterology)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
DR. MICHAEL GLOVER M.D.
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
500 W FORT ST, MAIL CODE #112
BOISE, ID 83702
Ada County (208) 422-1000
DR. ANN DECKER TROTTER PHD
Psychologist (Clinical)
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
REBECCA COTTERELL RN-BC, BSN
Registered Nurse
500 W FORT ST
BOISE, ID 83702
Ada County (208) 422-1000
PHILIP RESIN ELACKATT RN
Registered Nurse (Pain Management)
500 W FORT ST
BOISE, ID 83702
Ada County (986) 256-1766

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Malaika Kimmons's NPI number?

The NPI number for Malaika Kimmons is 1073454294. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is Malaika Kimmons located?

Malaika Kimmons practices at 500 W Fort St, Boise, ID 83702. The listed phone number is (208) 422-1000.

What is Malaika Kimmons's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Malaika Kimmons was last updated on April 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.