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
Hospital & facility affiliations 1
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
Ironwood Family Practice, PA
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
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240805001339 | ID | Practitioner - Nurse Practitioner | 3678010964 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9471356 | ID | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ironwood Family Practice, PA | Current |
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
{
"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
- Adam Douglas Deluca
- Shelby Deluca
- Kristen Demaline
- Kayla Dematos
- Ashley Demico
- Stuart Bruce Denny
- Gerald Angelo Caballero Deocariza Jr.
- Department of Veterans Affairs
- Douglas P Dero
- Anthony Christopher Derrico
All providers in Coeur D Alene, ID · Family Nurse Practitioner in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.