Katherine Marie Demien

Individual provider Active NPI Family Nurse Practitioner · Coeur D Alene, ID

NPI 1265288773 · NPPES record last updated Dec 13, 2025

Key facts

NPI
1265288773
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
79570 (ID)
Practice address
3815 N Schreiber Way Unit 102
Coeur D Alene, ID 83815-8434
Phone
(208) 667-4557
NPI assigned
Apr 25, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dirne Health Centers Inc (82 clinicians)
Ironwood Family Practice, PA (13 clinicians)

Practice addresses (Care Compare)

1090 W Park PL
Coeur D Alene, ID 83814-2785
Phone (208) 292-0290

1106 W Ironwood Dr
Coeur D Alene, ID 83814-2480

3815 N Schreiber Way
Unit 102
Coeur D Alene, ID 83815-8434
Phone (208) 667-4557

Hospital & facility affiliations

  • Kootenai Health Hospital · Coeur D'Alene, ID · CCN 130049

Medicare participation

Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240805001339 ID Practitioner - Nurse Practitioner 3678010964 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
9471356IDMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ironwood Family Practice, PA Current
since Oct 28, 2025
Accepting new patients

Locations

3815 N Schreiber Way
Unit 102
Coeur D Alene, ID 83815
Phone (208) 667-4557

920 W Ironwood Dr
Ste 101
Coeur D Alene, ID 83814
Phone (208) 667-4557

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 9471356 ID
Family Nurse Practitioner 363LF0000X 79570 ID Yes

Addresses

Primary practice location

3815 N Schreiber Way Unit 102
Coeur D Alene, ID 83815-8434

Mailing address

3815 N Schreiber Way Unit 102
Coeur D Alene, ID 83815-8434

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 13, 2025.

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765584000000",
    "number": "1265288773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3815 N SCHREIBER WAY UNIT 102",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3815 N SCHREIBER WAY UNIT 102",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838158434",
            "telephone_number": "208-667-4557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMIEN",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-25",
        "last_updated": "2025-12-13",
        "certification_date": "2025-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "ID",
            "license": "9471356",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "79570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coeur D Alene, ID

All providers in Coeur D Alene, ID · Family Nurse Practitioner in Idaho

Sources for this page

Verify at the official NPI Registry.