Individual
MS. KATHLEEN A. MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
520 S EAGLE RD, SUITE 3209, MERIDIAN, ID 83642-6351
(208) 884-3980
(208) 884-3979
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
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.
Contact us