Active NPI
Lindsey Autumn Martin, CPSS
- Case Manager/Care Coordinator
- Meridian, ID
National Provider Identifier
1134039563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 3288 E Pine Ave
Meridian, ID 83642-5922 - Phone
- (208) 888-8887
- Fax
- (208) 658-0153
- NPI assigned
- Sep 9, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | ID | ||
| Rehabilitation Practitioner | 225400000X | ID | ||
| Case Manager/Care Coordinator | 171M00000X | ID | Primary |
Addresses
Primary practice location
3288 E Pine Ave
Meridian, ID 83642-5922
Mailing address
3288 E Pine Ave
Meridian, ID 83642-5922
Phone (208) 888-8887
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1788912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1134039563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3288 E PINE AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425922",
"telephone_number": "208-888-8887",
"fax_number": "208-658-0153"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3288 E PINE AVE",
"city": "MERIDIAN",
"state": "ID",
"postal_code": "836425922",
"telephone_number": "208-888-8887",
"fax_number": "208-658-0153"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "LINDSEY",
"middle_name": "AUTUMN",
"credential": "CPSS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-09",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "ID",
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "ID",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "ID",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Meridian, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.