P Praxis·MD
● Active Type 1 · Individual

MS. Kathleen Bridget Marshall, CPNP

Nurse Practitioner·Fort Hall, ID· NPI 1568679603 · Enumerated 2007 · 19 years on NPI
Marshall is 1 of 1 nurse practitioner providers in Fort Hall and 1 of 56 in Idaho.
NPI age
19 years
Enumerated 2007-05-17
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-09-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 56 active nurse practitioner providers in Idaho.

NPI age
19 years
↑ 8 yr above median (11 yr)
State licenses
1 state
12% of peers hold multiple states
Subspecialties
1
In the 28% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
717 Mission Rd.
Fort Hall, ID 832030717
📞 2082385435
Mailing address
9530 W Heather Rd
Pocatello, ID 832047232
📞 2082337699

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #NP433A taxonomy 363LW0102X
  • Nurse Practitioner
    Definition to come...
    ID license #NP433A taxonomy 363LP0200X

Identifiers

TypeValueNotes
05 (ID) 8063500
05 (ID) 8064977
05 (ID) 80662922

Practice context

Solo or small practice. No 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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