Kellie Northam, PMHNP-BC, CNM
NPI 1053650010 · Psychiatric/Mental Health Nurse Practitioner · Nampa, ID
Kellie Northam, PMHNP-BC, CNM is a Psychiatric/Mental Health Nurse Practitioner provider in Nampa, ID (NPI 1053650010).
Provider details
- NPI number
- 1053650010
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC, CNM
- Sex
- Female
- Sole proprietor
- No
- License
- 61450 (ID)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2013-02-11
- Last updated
- 2025-12-05
- Certified
- 2025-12-05
Frequently asked questions
- What is Kellie Northam's NPI number?
- Kellie Northam's National Provider Identifier (NPI) is 1053650010, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kellie Northam's specialty?
- Kellie Northam is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Kellie Northam located?
- Kellie Northam's practice location on file with NPPES is 116 18th Ave S, Nampa, ID 83651-4841.
- What is Kellie Northam's phone number?
- The practice phone number listed in the NPPES registry for Kellie Northam is (208) 639-2700.
- Is Kellie Northam's NPI active?
- Yes — Kellie Northam's NPI (1053650010) is active in the NPPES registry as of the last update on 2025-12-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.