P Praxis·MD
● Active Type 1 · Individual

MS. Kathleen A. Martin, NP

Nurse Practitioner·Meridian, ID· NPI 1164441143 · Enumerated 2006 · 19 years on NPI
Martin is 1 of 3 nurse practitioner providers in Meridian and 1 of 16 in Idaho.
NPI age
19 years
Enumerated 2006-07-19
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
📞 2088843980fax 2088843979
Mailing address
190 E Bannock St
Boise, ID 837126241
📞 2083812222

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #NP88A taxonomy 363LX0001X

Identifiers

TypeValueNotes
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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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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