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MOMMA LLC
NPI 1376286732
Nurse Practitioner - Psychiatric/Mental Health in Nampa, ID

Active since April 14, 2022
116 18TH AVE S, NAMPA, ID 83651(208) 807-2867(208) 639-2736 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Momma Llc NPPES

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

MOMMA LLC (NPI 1376286732) is a healthcare organization registered as a psychiatric/mental health in Nampa, Idaho and active in the NPI registry since April 2022. The organization lists Kellie Northam, Primary Operator, as its authorized official.

NPPES Registry Identity

NPI1376286732
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMOMMA LLC
Location Address116 18TH AVE SNampa, ID 83651-4841
Mailing Address116 18th Ave SNampa, ID 83651-4841 · (208) 807-2867 · Fax (208) 639-2736
Phone(208) 807-2867
Fax(208) 639-2736
Organization SubpartNo
Authorized OfficialKellie NorthamPrimary Operator · (712) 828-0234
Enumeration DateApril 14, 2022
NPPES CertifiedApril 14, 2022
✔ NPI 1376286732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
116 18TH AVE S, Nampa, ID 83651
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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
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
KELLIE ANN NORTHAM PMHNP-BC, CNM
Nurse Practitioner (Psychiatric/Mental Health)
116 18TH AVE S
NAMPA, ID 83651
Canyon County (208) 639-2700

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 Momma LLC's NPI number?

The NPI number for Momma LLC is 1376286732. It was assigned to this organization in the NPPES registry on April 14, 2022.

Where is Momma LLC located?

Momma LLC is located at 116 18th Ave S, Nampa, ID 83651. The listed phone number is (208) 807-2867.

What is Momma LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Momma LLC was last updated on April 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.