NPI age
18 years
Enumerated 2008-04-08
● Active
Type 1 · Individual
Kathleen Ann MacK, ARNP
MacK is 1 of 9 nurse practitioner providers in Emmett and 1 of 1280 in Idaho.
Primary specialty
Nurse Practitioner
Plus 3 subspecialties
Licensed in
ID, WA, UT
3 states
Status
Active
No deactivations on record
Last NPPES update
2024-02-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 1280 active nurse practitioner providers in Idaho.
NPI age
18 years
↑ 11 yr above median (7 yr)
State licenses
3 states
Top 86% — 13% of peers are multi-state
Subspecialties
2
In the 27% of peers with subspecialties
NPI lifetime · 2008 → 2026
2008-04Enumerated in NPPES
2008
2026
Where they practice
Practice location
1006 Vanderdasson Rd
Emmett, ID 836178880
Mailing address
1006 Vanderdasson Rd
Emmett, ID 836178880
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
-
Nurse PractitionerDefinition to come...
-
Registered NurseDefinition to come...
Practice context
Part of a multi-provider practice. 1 other active provider shares 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.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.