P Praxis·MD
● Active Type 1 · Individual

Kellie Ann Northam, PMHNP-BC, CNM

Nurse Practitioner·Nampa, ID· NPI 1053650010 · Enumerated 2013 · 13 years on NPI
Northam is 1 of 21 nurse practitioner providers in Nampa and 1 of 374 in Idaho.
NPI age
13 years
Enumerated 2013-02-11
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-12-05
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 374 active nurse practitioner providers in Idaho.

NPI age
13 years
↑ 9 yr above median (4 yr)
State licenses
1 state
13% of peers hold multiple states
Subspecialties
1
In the 34% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-02Enumerated in NPPES
2013 2026

Where they practice

Practice location
116 18th Ave S
Nampa, ID 836514841
📞 2086392700fax 2086392736
Mailing address
116 18th Ave S
Nampa, ID 836514841
📞 2086392700fax 2086392736

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #61450 taxonomy 363LP0808X
  • Advanced Practice Midwife
    Advanced practice midwifery encompasses the independent provision of care during pregnancy, childbirth, and the postpartum period; sexual and reproductive health; gynecologic health; and family planning services, including preconception...
    ID license #CNM81-A taxonomy 367A00000X

Practice context

Part of a multi-provider practice. 4 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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