Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kathleen Ann Mack, ARNP

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1326211624

Kathleen Ann Mack, ARNP is a Nurse Practitioner in Emmett, Idaho. Graduated from Washington State University Elson S Floyd College of Medicine in 2007, 19 years ago. Accepts Medicare assignment. Licensed in Idaho, Utah and Washington.

Years since qualifying
19
Trained at
Washington State University Elson S Floyd College of Medicine
Licensed in
ID, UT, WA
In the registry since
2008
Specialties on file
4
What do these letters mean?
ARNP — Advanced Registered Nurse Practitioner
The title some states use for an advanced practice nurse.

See every abbreviation used in this directory →

Practice location Address checks out

1006 Vanderdasson Rd
Emmett, ID 83617-8880
Phone: (208) 944-1537
Fax: (208) 944-6067
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 73858 (ID)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence RN00106768 (WA)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 8636044-4405 (UT)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence AP30008033 (WA)

Record details

NPI number1326211624
Entity typeIndividual (Type 1)
GenderFemale
Credentials ARNP
Sole proprietorNo
NPI enumeratedApril 8, 2008
Last updated in NPPESFebruary 20, 2024
Certification dateFebruary 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolWASHINGTON STATE UNIVERSITY ELSON S FLOYD COLLEGE OF MEDICINE
Graduated 2007 (19 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount