Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kristie Katherine Tamer, AGACNP-BC

Individual provider Acute Care Nurse Practitioner · NPI 1679189393

Kristie Katherine Tamer, AGACNP-BC is a Nurse Practitioner in Meridian, Idaho. Qualified in 2020, 6 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Idaho.

Years since qualifying
6
Licensed in
CA, ID
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

3525 E Louise Dr Ste 400
Meridian, ID 83642-6303
Phone: (208) 322-1680
Fax: (208) 884-3096
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 757 Westwood Plz, Los Angeles, CA 90095-8358 — (310) 267-7740

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 6561172 (ID)
Acute Care Nurse Practitioner Taxonomy 363LA2100X · Licence 95015018 (CA)

Record details

NPI number1679189393
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGACNP-BC
Sole proprietorNo
NPI enumeratedSeptember 17, 2020
Last updated in NPPESFebruary 4, 2025
Certification dateFebruary 4, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Meridian