Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
MS. KATHLEEN A. MARTIN
Active
Individual
MS. KATHLEEN A. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
NP88A
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010016728
REGENCE BLUE SHIELD OF ID
ID
01
—
000010016729
REGENCE BLUE SHIELD OF ID
ID
01
—
500029223
RAILROAD MEDICARE
ID
01
—
781786
DESERET
ID
05
—
805800900
—
ID
01
—
820367722A010
TRICARE
ID
01
—
820367722C012
TRICARE
ID
01
—
NPNB1
BLUE CROSS OF IDAHO
ID
Enumeration date
07/19/2006
Last updated
11/10/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up