MS. KATHLEEN A. MARTIN (NPI# 1164441143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164441143 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN A. MARTIN |
| Credential | NP |
| Practice Address |
520 S Eagle Rd Suite 3209 Meridian ID 83642-6351 |
| Mailing Address |
190 E Bannock St Boise ID 83712-6241 |
| Practice Telephone | 2088843980 |
| Practice Fax Number | 2088843979 |
| Mailing Telephone | 2083812222 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2012-11-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
NP88A | ID | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | BLUE CROSS OF IDAHO | NPNB1 | 01 |
| ID | REGENCE BLUE SHIELD OF ID | 000010016728 | 01 |
| ID | TRICARE | 820367722A010 | 01 |
| ID | REGENCE BLUE SHIELD OF ID | 000010016729 | 01 |
| ID | RAILROAD MEDICARE | 500029223 | 01 |
| ID | DESERET | 781786 | 01 |
| ID | 805800900 | 05 | |
| ID | TRICARE | 820367722C012 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891229290 | Kathleen Martin | Behavioral Analyst | 21 Oxford Rd, White Plains, NY 10605-3607 | 2017-04-12 |
| 1336507904 | Kathleen Martin | Registered Nurse | 401 E Palmer St, Mount Pleasant, MI 48858-1547 | 2016-02-10 |
| 1023252277 | Kathleen Elaine Martin | Counselor | 211 S Norton Ave, Norton, KS 67654-2137 | 2009-04-30 |
| 1326201633 | Kathleen O'connor Martin | Physical Therapist | 30 Trellis Gate St, The Woodlands, TX 77382-5104 | 2008-07-07 |
| 1811184393 | Kathleen Nolan Martin | Social Worker | 2305 N Parham Rd Ste 3, Richmond, VA 23229-3156 | 2007-09-28 |
| 1689707473 | Kathleen Logan Martin | Occupational Therapy Assistant | 2841 Trotters Ln, Midlothian, VA 23113-4834 | 2007-03-13 |
| 1073649224 | Kathleen Anne Martin | Speech-Language Pathologist | 2652 S Wallis Smith Blvd, Springfield, MO 65804-3864 | 2007-02-24 |
| 1609910215 | Kathleen M Martin | Dental Hygienist | 389 Congress St, Portland, ME 04101-3509 | 2007-02-16 |
| 1467559781 | Kathleen Elizabeth Martin | Social Worker | 473 Cabrillo Street, Ste. 422, Presidio of Monterey Army Health Clinic, Monterey, CA 93944-0001 | 2006-09-20 |
| 1356300024 | Kathleen Martin | Registered Nurse | 211 Nautilus Dr, Apt. #4, Madison, WI 53705-4358 | 2006-03-21 |
| Street Address |
520 S EAGLE RD SUITE 3209 |
| City | MERIDIAN |
| State | ID |
| Zip Code | 83642-6351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356348015 | Robert E. Holland Jr. | Family Medicine | 520 S Eagle Rd, Ste 1241, Meridian, ID 83642-6351 | 2005-07-07 |
| 1659984284 | Heather R Zimmerman | Occupational Therapist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-08-24 |
| 1619587573 | Maria Herbison | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-08-05 |
| 1952927543 | Grayson T Kendall | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-06-19 |
| 1891310371 | David Joseph Matthews | Respiratory Therapist, Registered | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-06-10 |
| 1356960603 | Rebecca Finder | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-04-15 |
| 1982231023 | Stephen Blake Miltner | Physical Therapist | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-03-26 |
| 1093342834 | Clayton Hawks | Nurse Practitioner | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-03-23 |
| 1912547647 | Emily Tyler Getlein Marques | Nurse Practitioner | 520 S Eagle Rd, Meridian, ID 83642-6351 | 2020-01-10 |
| 1184264244 | Jordan Leach | Pharmacist | 520 S Eagle Rd, Meridian, ID 83642 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174145684 | Ikdo South Meridian LLC | Dentist | 3839 E Amity Rd, Meridian, ID 83642 | 2020-05-07 |
| 1073133328 | Prescription Pad LLC | Pharmacy | 885 S Vanguard Way, Meridian, ID 83642 | 2020-04-16 |
| 1609412683 | Meridian Advanced Psychiatry, LLC | Psychiatry & Neurology | 1672 S Woodsage Ave., Meridan, ID 83642 | 2019-11-25 |
| 1194378927 | Sergey Tsema | Occupational Therapist | 1259 E Pisa St, Meridian, ID 83642 | 2019-07-21 |
| 1003478629 | Chris R Jackson | Dentist | Isu Family Dentistry, 1311 E Central Dr, Meridian, ID 83642 | 2019-07-03 |
| 1285293118 | Morgan Family Medicine | Nurse Practitioner | 1660 S Woodsage Avenue, Meridian, ID 83642 | 2019-06-13 |
| 1033772793 | Nugen Healthcare, Pllc | Registered Nurse | 2177 S Spoonbill Ave, Meridian, ID 83642 | 2019-04-18 |
| 1811471790 | Courtney Crossland | Physician Assistant | 4949 S Hillsdale Ave., Meridian, ID 83642 | 2018-09-18 |
| 1841771938 | Katelyn Perry | Counselor | 2068 S. Eagle Rd., Meridian, ID 83642 | 2018-08-27 |
| 1114406204 | Gem Prep: Meridian LLC | Case Management | 2750 E.gala Ct., Meridian, ID 83642 | 2018-08-09 |
| Find all providers in zip 83642 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831619626 | Erica Clanahan | Nurse Practitioner | 2124 14th St, Meridian, MS 39301-4040 | 2017-06-22 |
| 1629400734 | Brennan N Carmody | Nurse Practitioner | 520 S Eagle Rd, Ste 3209, Meridian, ID 83642-6351 | 2013-07-31 |
| 1225008998 | Julie A Stevens | Nurse Practitioner | 3520 E. Louise Dr, Meridian, ID 83642 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699701615 | Margaret Ann Leverett | Nurse Practitioner | 2305 Coronado Street, Idaho Falls, ID 83404 | 2006-06-23 |
| 1013572973 | Jessica Rose Mcqueary | Nurse Practitioner | 100 E Idaho St, Boise, ID 83712-6267 | 2019-05-07 |
| 1780949164 | Cortney Lynn Schnupp | Nurse Practitioner | 333 N 1st St, 240, Boise, ID 83702-6100 | 2012-07-11 |
| 1710132931 | Jennifer Lynn Newman | Nurse Practitioner | 333 N 1st St Ste 240, Boise, ID 83702-6132 | 2008-12-02 |
| 1861689655 | Jenny Ann Stireman | Nurse Practitioner | 100 Hospital Dr., Suite 200, Ketchum, ID 83340 | 2007-09-26 |
| 1528271103 | Susan Eliane Ault | Nurse Practitioner | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2007-05-08 |
| 1629294194 | Kerri L Tucker | Nurse Practitioner | 100 E Idaho St, Ste 400, Boise, ID 83712-6267 | 2007-04-17 |
| 1972615466 | Margaret Leverett, Rncnp, Pllc | Nurse Practitioner | 2305 Coronado Street, Idaho Falls, ID 83404 | 2006-08-31 |
| 1659396430 | Ruth Butterfield | Nurse Practitioner | 100 E Idaho St, Suite 400, Boise, ID 83712-6223 | 2006-07-13 |
| 1699724633 | Velma Seabolt | Nurse Practitioner | 333 N 1st St, Suite 240, Boise, ID 83702-6100 | 2006-05-08 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.