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

Kathleen Rose Nielsen, PA

Individual provider Physician Assistant · NPI 1336196757

Kathleen Rose Nielsen, PA is a Physician Assistant in Meridian, Idaho. Practices as a sole proprietor. Licensed in Idaho.

Licensed in
ID
In the registry since
2006
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

2640 S Eagle Rd
Meridian, ID 83642-6704
Phone: (208) 884-0835
Fax: (208) 884-4794
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA411 (ID)

Record details

NPI number1336196757
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedMay 30, 2006
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026

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