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MINDFUL MOMENTS PSYCHIATRY, LLC
NPI 1942048368
Nurse Practitioner - Psychiatric/Mental Health in Nampa, ID

Active since July 18, 2024
270 W GEORGIA AVE STE 107, NAMPA, ID 83686(509) 703-0736 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mindful Moments Psychiatry, Llc NPPES

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

MINDFUL MOMENTS PSYCHIATRY, LLC (NPI 1942048368) is a healthcare organization registered as a psychiatric/mental health in Nampa, Idaho and active in the NPI registry since July 2024. The organization lists Kerrie Petech, Owner/prescriber, as its authorized official.

NPPES Registry Identity

NPI1942048368
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameMINDFUL MOMENTS PSYCHIATRY, LLC
Location Address270 W GEORGIA AVE STE 107Nampa, ID 83686-2835
Mailing Address708 N Horton StNampa, ID 83651-1936 · (509) 703-0736
Phone(509) 703-0736
Organization SubpartNo
Authorized OfficialKerrie PetechOwner/prescriber · (509) 703-0736
Enumeration DateJuly 18, 2024
NPPES CertifiedJuly 18, 2024
✔ NPI 1942048368 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
270 W GEORGIA AVE STE 107, Nampa, ID 83686
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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

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 Mindful Moments Psychiatry, LLC's NPI number?

The NPI number for Mindful Moments Psychiatry, LLC is 1942048368. It was assigned to this organization in the NPPES registry on July 18, 2024.

Where is Mindful Moments Psychiatry, LLC located?

Mindful Moments Psychiatry, LLC is located at 270 W Georgia Ave Ste 107, Nampa, ID 83686. The listed phone number is (509) 703-0736.

What is Mindful Moments Psychiatry, 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 Mindful Moments Psychiatry, LLC was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.