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DR. KELLI RICH NP
NPI 1417843764
Nurse Practitioner - Family in Eagle, ID

Active since June 14, 2025
21 N FISHER PARK WAY, EAGLE, ID 83616(801) 369-5155 Get Directions Write a Review

NPPES record last updated: June 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kelli Rich Np NPPES

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

DR. KELLI RICH NP (NPI 1417843764) is an individual family provider in Eagle, Idaho, licensed in Idaho (8471065) and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1417843764
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDR. KELLI RICHCredential: NP
Location Address21 N FISHER PARK WAYEagle, ID 83616-4796
Mailing Address2258 N Big Summit WayEagle, ID 83616-3968 · (801) 369-5155
Phone(801) 369-5155
Sole ProprietorNo
Enumeration DateJune 14, 2025
NPPES CertifiedJune 13, 2025
✔ NPI 1417843764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in ID · 8471065
21 N FISHER PARK WAY, Eagle, ID 83616
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Other Providers at the Same Location NPPES 5

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

KATHRYN L STEDNITZ DPT
Physical Therapist
21 N FISHER PARK WAY
EAGLE, ID 83616
Ada County (208) 514-0670
MASON CARTER NP-C
Nurse Practitioner (Family)
21 N FISHER PARK WAY
EAGLE, ID 83616
Ada County (208) 514-0670
KEYSTONE HOSPICE, LLC
Hospice Care, Community Based
21 N FISHER PARK WAY
EAGLE, ID 83616
Ada County (208) 996-8181
CODY JOHANNA BONINE FNP
Nurse Practitioner (Family)
21 N FISHER PARK WAY
EAGLE, ID 83616
Ada County (208) 996-8181
KEY STONE HEALTH CARE
Nurse Practitioner (Gerontology)
21 N FISHER PARK WAY
EAGLE, ID 83616
Ada County (208) 514-0670

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 Kelli Rich's NPI number?

The NPI number for Kelli Rich is 1417843764. It was assigned to this individual provider in the NPPES registry on June 14, 2025.

Where is Kelli Rich located?

Kelli Rich practices at 21 N Fisher Park Way, Eagle, ID 83616. The listed phone number is (801) 369-5155.

What is Kelli Rich's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Kelli Rich was last updated on June 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.