NPI age
5 years
Enumerated 2020-08-24
● Active Type 2 · Organization
Mmg Llc
Mmg Llc is 1 of 658 nurse practitioner organizations in Idaho.
Primary specialty
Nurse Practitioner
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Norris
Managing Partner
Last NPPES update
2022-07-22
Source: monthly bulk 2026-05
How this organization compares
Across 658 active nurse practitioner providers in Idaho.
NPI age
5 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-08Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
2440 S Titanium Pl
Meridian, ID 836426703
Mailing address
450 S 900 E Ste 100
Salt Lake City, UT 841022983
Authorized official
Kenneth E Norris
Managing Partner
📞 8014856166
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Alivia Miller, APRN-CNP Nurse Practitioner NPI 1780383166
Specialties
-
Nurse Practitioner Primary(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...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Mobile Medical Group
-
Mobile Medical Group
Practice context
Multi-provider organization. 1 individual provider 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.