NPI age
1 years
Enumerated 2024-07-18
● Active Type 2 · Organization
Mindful Moments Psychiatry, Llc
Mindful Moments Psychiatry, 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
Petech
Owner/prescriber
Last NPPES update
2024-07-18
Source: monthly bulk 2026-05
How this organization compares
Across 374 active nurse practitioner providers in Idaho.
NPI age
1 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2024 → 2026
2024-07Enumerated in NPPES
2024
2026
Where they practice
Primary practice location
270 W Georgia Ave Ste 107
Nampa, ID 836862835
Mailing address
708 N Horton St
Nampa, ID 836511936
Authorized official
Kerrie Petech, PMHNP-BC
Owner/prescriber
📞 5097030736
Specialties
-
Nurse Practitioner PrimaryDefinition to come...
Practice context
Single-site organization. Only one practice location on file.
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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.