P Praxis·MD
● Active Type 2 · Organization

Mindful Moments Psychiatry, Llc

Nurse Practitioner·Nampa, ID· NPI 1942048368 · Enumerated 2024 · 1 years on NPI
Mindful Moments Psychiatry, Llc is 1 of 374 nurse practitioner organizations in Idaho.
NPI age
1 years
Enumerated 2024-07-18
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
📞 5097030736
Mailing address
708 N Horton St
Nampa, ID 836511936
📞 5097030736

Authorized official

Kerrie Petech, PMHNP-BC
Owner/prescriber
📞 5097030736

Specialties

  • Nurse Practitioner Primary
    Definition to come...
    taxonomy 363LP0808X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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