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Kellie Ann Northam, PMHNP-BC, CNM

Psychiatric/Mental Health Nurse Practitioner in Nampa, ID · enumerated 2013.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053650010

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Registry record

Entity type Individual (Type 1)
Name Kellie Ann Northam
Credential PMHNP-BC, CNM
Sex Female
Practice address 116 18th Ave S, Nampa, ID, 83651
Phone (208) 639-2700
Fax (208) 639-2736
Enumeration date Feb 11, 2013
Last updated in NPPES Dec 5, 2025

Taxonomy & licenses

363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers · License 61450 (ID) Primary
367A00000X Advanced Practice Midwife Physician Assistants & Advanced Practice Nursing Providers · License CNM81-A (ID) Secondary
CNM · Certified Nurse Midwife: An advanced practice nurse specializing in pregnancy, childbirth, and reproductive care. About the CNM credential

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Kellie Northam's NPI record?
Cross-check NPI 1053650010 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.
Is NPI 1053650010 active?
Yes, as of the latest NPPES snapshot, NPI 1053650010 is active (record last updated 2025-12-05).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-12-05.