MS. KATHLEEN A. MARTIN NP NPI 1164441143

NPI Information

NPI: 1164441143
Provider Name: MS. KATHLEEN A. MARTIN, NP
Classification: Nurse Practitioner - 363LX0001X
Entity Type: Individual

Specialization: Obstetrics & Gynecology

Address:
520 S EAGLE RD
SUITE 3209
MERIDIAN, ID
ZIP 83642
Phone: (208) 884-3980
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MS. Kathleen A. Martin, NP is an obstetrics and gynecology nurse practitioner in Meridian, ID. MS. Kathleen A. Martin, NP NPI is 1164441143. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

520 S EAGLE RD
SUITE 3209
MERIDIAN, ID
ZIP 83642-351
Phone: (208) 884-3980
Fax: (208) 884-3979

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)

The enumeration date for this NPI number is 7/19/2006 and was last updated on 11/10/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LX0001X	Nurse Practitioner	Obstetrics & Gynecology	NP88A	IDAHO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1343147	MEDICARE ID-TYPE UNSPECIFIED	IDAHO
2	805800900	MEDICAID	IDAHO
3	500029223	OTHER	IDAHO	RAILROAD MEDICARE
4	820367722A010	OTHER	IDAHO	TRICARE
5	1343145	MEDICARE ID-TYPE UNSPECIFIED	IDAHO
6	NPNB1	OTHER	IDAHO	BLUE CROSS OF IDAHO
7	000010016728	OTHER	IDAHO	REGENCE BLUE SHIELD OF ID
8	820367722C012	OTHER	IDAHO	TRICARE
9	000010016729	OTHER	IDAHO	REGENCE BLUE SHIELD OF ID
10	781786	OTHER	IDAHO	DESERET
11	P23257	MEDICARE UPIN	IDAHO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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