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MS. KATHLEEN A. MARTIN NP
NPI 1164441143
Nurse Practitioner - Obstetrics & Gynecology in Meridian, ID

Active since July 19, 2006
520 S EAGLE RD, SUITE 3209, MERIDIAN, ID 83642(208) 884-3980(208) 884-3979 Get Directions Write a Review

NPPES record last updated: November 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Kathleen A. Martin Np NPPES

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

MS. KATHLEEN A. MARTIN NP (NPI 1164441143) is an individual obstetrics & gynecology provider in Meridian, Idaho, licensed in Idaho (NP88A) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1164441143
Entity TypeIndividualFemale
Primary Taxonomy363LX0001X
Provider Legal NameMS. KATHLEEN A. MARTINCredential: NP
Location Address520 S EAGLE RD, SUITE 3209Meridian, ID 83642-6351
Mailing Address190 E Bannock StBoise, ID 83712-6241 · (208) 381-2222
Phone(208) 884-3980
Fax(208) 884-3979
Sole ProprietorNo
Enumeration DateJuly 19, 2006
Last NPPES UpdateNovember 10, 2012
✔ NPI 1164441143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Obstetrics & GynecologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LX0001X
License✔ Licensed in ID · NP88A
520 S EAGLE RD, Meridian, ID 83642
Open in Google Maps ↗

Other Identifiers 11

Medicare ID-Type Unspecified1343147ID
Medicaid805800900ID
Other500029223ID · Railroad Medicare
Other820367722A010ID · Tricare
Medicare ID-Type Unspecified1343145ID
OtherNPNB1ID · Blue Cross Of Idaho
Other000010016728ID · Regence Blue Shield Of Id
Other820367722C012ID · Tricare
Other000010016729ID · Regence Blue Shield Of Id
Other781786ID · Deseret
Medicare UPINP23257ID

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MAGGIE D. VUTURO MD
Urology (Urogynecology and Reconstructive Pelvic Surgery)
520 S EAGLE RD, STE 3112
MERIDIAN, ID 83642
Ada County (208) 706-5800
MICHAEL J GRIFFITHS RPH
Pharmacist
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 706-5255
ROBIN MCGAW HUGHES PT
Physical Therapist
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 381-4757
MRS. AUDREY GYUNG NGUYEN PHARMD
Pharmacist (Pharmacotherapy)
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 706-1523
MR. BENJAMIN WATSON PA-C
Physician Assistant (Medical)
520 S EAGLE RD, SUITE 1234
MERIDIAN, ID 83642
Ada County (661) 332-9138
NICOLE DANIELLE BORCYK OTR/L
Occupational Therapist
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 706-5000
CRAIG R SPENCER MD
Urology
520 S EAGLE RD, STE 3112
MERIDIAN, ID 83642
Ada County (208) 706-5800
TRAVIS G WILLIAMS DO
Internal Medicine (Medical Oncology)
520 S EAGLE RD
MERIDIAN, ID 83642
Ada County (208) 706-5651

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 Kathleen Martin's NPI number?

The NPI number for Kathleen Martin is 1164441143. It was assigned to this individual provider in the NPPES registry on July 19, 2006.

Where is Kathleen Martin located?

Kathleen Martin practices at 520 S Eagle Rd Suite 3209, Meridian, ID 83642. The listed phone number is (208) 884-3980.

What is Kathleen Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Obstetrics & Gynecology, with taxonomy code 363LX0001X.

When was this NPI record last updated?

The NPPES record for Kathleen Martin was last updated on November 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.