NPI age
19 years
Enumerated 2006-07-19
● Active
Type 1 · Individual
MS. Kathleen A. Martin, NP
Martin is 1 of 3 nurse practitioner providers in Meridian and 1 of 16 in Idaho.
Primary specialty
Nurse Practitioner
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-11-10
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 16 active nurse practitioner providers in Idaho.
NPI age
19 years
≈ at median (19 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
25% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-07Enumerated in NPPES
2006
2026
Where they practice
Practice location
520 S Eagle Rd, Suite 3209
Meridian, ID 836426351
Mailing address
190 E Bannock St
Boise, ID 837126241
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (ID) | 781786 | DESERET |
| 01 (ID) | 500029223 | RAILROAD MEDICARE |
| 01 (ID) | 820367722C012 | TRICARE |
| 01 (ID) | NPNB1 | BLUE CROSS OF IDAHO |
| 01 (ID) | 820367722A010 | TRICARE |
| 01 (ID) | 000010016728 | REGENCE BLUE SHIELD OF ID |
| 01 (ID) | 000010016729 | REGENCE BLUE SHIELD OF ID |
| 05 (ID) | 805800900 |
Practice context
Part of a multi-provider practice. 223 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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