NPI age
4 years
Enumerated 2022-04-14
● Active Type 2 · Organization
Momma Llc
Momma Llc is 1 of 374 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Northam
Primary Operator
Last NPPES update
2022-04-14
Source: monthly bulk 2026-05
How this organization compares
Across 374 active nurse practitioner providers in Idaho.
NPI age
4 years
≈ at median (4 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-04Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
116 18th Ave S
Nampa, ID 836514841
Mailing address
116 18th Ave S
Nampa, ID 836514841
Authorized official
Kellie Northam, PMHNP,BC
Primary Operator
📞 7128280234
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Jessica Del Vecchio, LPC Counselor NPI 1265152722
- Kellie Northam, PMHNP-BC, CNM Nurse Practitioner NPI 1053650010
- Emily Northam-Mobley, APRN, PMHNP-BC Nurse Practitioner NPI 1831510817
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.