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REKINDLED SPIRIT MARSHALL MENTAL HEALTH
NPI 1043057359
Nurse Practitioner - Psychiatric/Mental Health in Meridian, ID

Active since July 12, 2024
3512 W NEWLAND CT, MERIDIAN, ID 83642(208) 901-6691 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2026, Jul 18, 2024, Jul 12, 2024 (3 updates tracked since 2024).

About Rekindled Spirit Marshall Mental Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

REKINDLED SPIRIT MARSHALL MENTAL HEALTH (NPI 1043057359) is a healthcare organization registered as a psychiatric/mental health in Meridian, Idaho and active in the NPI registry since July 2024. The organization lists Ethel Anne Marshall, Owner, as its authorized official.

NPPES Registry Identity

NPI1043057359
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameREKINDLED SPIRIT MARSHALL MENTAL HEALTH
Location Address3512 W NEWLAND CTMeridian, ID 83642-8947
Mailing Address3512 W Newland CtMeridian, ID 83642-8947 · (208) 901-6691
Phone(208) 901-6691
Organization SubpartNo
Authorized OfficialEthel Anne MarshallOwner · (208) 901-6691
Enumeration DateJuly 12, 2024
Last NPPES UpdateJanuary 20, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1043057359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
3512 W NEWLAND CT, Meridian, ID 83642
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rekindled Spirit Marshall Mental Health's NPI number?

The NPI number for Rekindled Spirit Marshall Mental Health is 1043057359. It was assigned to this organization in the NPPES registry on July 12, 2024.

Where is Rekindled Spirit Marshall Mental Health located?

Rekindled Spirit Marshall Mental Health is located at 3512 W Newland Ct, Meridian, ID 83642. The listed phone number is (208) 901-6691.

What is Rekindled Spirit Marshall Mental Health's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Rekindled Spirit Marshall Mental Health was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.