Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KYLIE J RUSH
NPI 1124932629
Nurse Practitioner in Eagle, ID

Q: What is Kylie Rush's NPI number?

The NPI number for Kylie Rush is 1124932629. It was assigned to this individual provider in the NPPES registry on September 30, 2026. The provider is also known as Kylie J Nebeker.

Q: What is Kylie Rush's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kylie Rush was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.

Active since September 30, 2026

868 E RIVERSIDE DR STE 270, EAGLE, ID 83616(208) 514-0670(208) 549-7880 Get Directions Write a Review

NPPES record added: September 30, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Kylie J Rush NPPES

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

KYLIE J RUSH (NPI 1124932629) is an individual nurse practitioner in Eagle, Idaho, licensed in Idaho (4581932) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1124932629

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKYLIE J RUSH

Location Address868 E RIVERSIDE DR STE 270Eagle, ID 83616-6121

Mailing Address868 E Riverside Dr Ste 270Eagle, ID 83616-6121 · (208) 514-0670 · Fax (208) 549-7880

Phone(208) 514-0670

Fax(208) 549-7880

Sole ProprietorNo

Enumeration DateSeptember 30, 2026

NPPES CertifiedSeptember 30, 2026

✔ NPI 1124932629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in ID · 4581932

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 4581932 (ID)

868 E RIVERSIDE DR STE 270, Eagle, ID 83616

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Other Names 1

Former Name (1)Kylie J Nebeker

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 Kylie Rush's NPI number?

The NPI number for Kylie Rush is 1124932629. It was assigned to this individual provider in the NPPES registry on September 30, 2026. The provider is also known as Kylie J Nebeker.

Where is Kylie Rush located?

Kylie Rush practices at 868 E Riverside Dr Ste 270, Eagle, ID 83616. The listed phone number is (208) 514-0670.

What is Kylie Rush's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kylie Rush was last updated on September 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.