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MOBILE MEDICAL GROUP
NPI 1407469166
Nurse Practitioner in Meridian, ID

Active since August 24, 2020
2440 S TITANIUM PL, MERIDIAN, ID 83642(208) 456-2659(208) 454-0854 Get Directions Write a Review

NPPES record last updated: July 22, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 22, 2022, Aug 27, 2020 (2 updates tracked since 2020).

About Mobile Medical Group NPPES

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

MOBILE MEDICAL GROUP (NPI 1407469166) is a healthcare organization registered as a nurse practitioner in Meridian, Idaho and active in the NPI registry since August 2020. The organization lists Kenneth E Norris, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1407469166
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMMG LLC
Location Address2440 S TITANIUM PLMeridian, ID 83642-6703
Mailing Address450 S 900 E Ste 100Salt Lake City, UT 84102-2983 · (801) 456-6166 · Fax (801) 531-1949
Phone(208) 456-2659
Fax(208) 454-0854
Organization SubpartNo
Authorized OfficialKenneth E NorrisManaging Partner · (801) 485-6166
Enumeration DateAugust 24, 2020
Last NPPES UpdateJuly 22, 20222 updates tracked since enumeration
NPPES CertifiedJuly 22, 2022
✔ NPI 1407469166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2440 S TITANIUM PL, Meridian, ID 83642
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Other Names 1

Doing Business AsMobile Medical Group

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

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

ALIVIA MILLER APRN-CNP
Nurse Practitioner (Family)
2440 S TITANIUM PL
MERIDIAN, ID 83642
Ada County (208) 456-2659

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 Mmg LLC's NPI number?

The NPI number for Mmg LLC is 1407469166. It was assigned to this organization in the NPPES registry on August 24, 2020. The provider is doing business as Mobile Medical Group.

Where is Mmg LLC located?

Mmg LLC is located at 2440 S Titanium Pl, Meridian, ID 83642. The listed phone number is (208) 456-2659.

What is Mmg LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Mmg LLC was last updated on July 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.