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KELLIE ANN NORTHAM PMHNP-BC, CNM
NPI 1053650010
Nurse Practitioner - Psychiatric/Mental Health in Nampa, ID

Active since February 11, 2013
116 18TH AVE S, NAMPA, ID 83651(208) 639-2700(208) 639-2736 Get Directions Write a Review

NPPES record last updated: December 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 5, 2025, Sep 30, 2024, May 20, 2019 and 1 more (4 updates tracked since 2018).

About Kellie Ann Northam Pmhnp-bc, Cnm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLIE ANN NORTHAM PMHNP-BC, CNM (NPI 1053650010) is an individual psychiatric/mental health provider in Nampa, Idaho, licensed in Idaho (61450) and active in the NPI registry since February 2013.

NPPES Registry Identity

NPI1053650010
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKELLIE ANN NORTHAMCredential: PMHNP-BC, CNM
Location Address116 18TH AVE SNampa, ID 83651-4841
Mailing Address116 18th Ave SNampa, ID 83651-4841 · (208) 639-2700 · Fax (208) 639-2736
Phone(208) 639-2700
Fax(208) 639-2736
Sole ProprietorNo
Enumeration DateFebruary 11, 2013
Last NPPES UpdateDecember 5, 20254 updates tracked since enumeration
NPPES CertifiedDecember 5, 2025
✔ NPI 1053650010 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ID · 61450
Also ListedAdvanced Practice MidwifeTaxonomy 367A00000X · License CNM81-A (ID)
116 18TH AVE S, Nampa, ID 83651
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JESSICA DAVINE DEL VECCHIO LPC
Counselor (Mental Health)
116 18TH AVE S
NAMPA, ID 83651
Canyon County (801) 895-4916
MOMMA LLC
Nurse Practitioner (Psychiatric/Mental Health)
116 18TH AVE S
NAMPA, ID 83651
Canyon County (208) 807-2867
MATUSHKA OLGA MICHAEL MATERNITY ASSOCIATES, INC
Nurse Practitioner (Psychiatric/Mental Health)
116 18TH AVE S
NAMPA, ID 83651
Canyon County (208) 639-2700
EMILY NORTHAM-MOBLEY APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
116 18TH AVE S
NAMPA, ID 83651
Canyon County (208) 283-7314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kellie Northam's NPI number?

The NPI number for Kellie Northam is 1053650010. It was assigned to this individual provider in the NPPES registry on February 11, 2013.

Where is Kellie Northam located?

Kellie Northam practices at 116 18th Ave S, Nampa, ID 83651. The listed phone number is (208) 639-2700.

What is Kellie Northam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Kellie Northam accept?

Health plans from Providence Health Plan list Kellie Northam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kellie Northam was last updated on December 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.