P Praxis·MD
● Active Type 1 · Individual

Genevieve Marie Leetham, APRN

Nurse Practitioner·Mountain Home, ID· NPI 1669027793 · Enumerated 2019 · 6 years on NPI
Leetham is 1 of 9 nurse practitioner providers in Mountain Home and 1 of 1280 in Idaho.
NPI age
6 years
Enumerated 2019-08-06
Primary specialty
Nurse Practitioner
Plus 1 subspecialty
Licensed in
ID, UT
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-07-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1280 active nurse practitioner providers in Idaho.

NPI age
6 years
≈ at median (7 yr)
State licenses
2 states
Top 86% — 13% of peers are multi-state
Subspecialties
1
In the 27% of peers with subspecialties

NPI lifetime · 2019 → 2026

2019-08Enumerated in NPPES
2019 2026

Where they practice

Practice location
2280 American Legion Blvd
Mountain Home, ID 836473142
📞 2085873988fax 2085873324
Mailing address
2280 American Legion Blvd
Mountain Home, ID 836473142
📞 2085873988fax 2085873324

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
1134 E Maple St
Mapleton, UT 84664
📞 7854100950
Location 3
1134 E Maple St
Mapleton, UT 84664
📞 7854100950

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    ID license #NP-67308 taxonomy 363LF0000X
  • Nurse Practitioner
    (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...
    UT license #5905632-4405 taxonomy 363L00000X

Practice context

Part of a multi-provider practice. 13 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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