Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Genevieve Marie Leetham, APRN

Individual provider Nurse Practitioner · NPI 1669027793

Genevieve Marie Leetham, APRN is a Nurse Practitioner in Mountain Home, Idaho. Qualified in 2019, 7 years ago. Practices with Option Care Infusion Suites LLC, a 6-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Idaho and Utah.

Years since qualifying
7
Licensed in
ID, UT
In the registry since
2019
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

See every abbreviation used in this directory →

Practice location Address checks out

2280 American Legion Blvd
Mountain Home, ID 83647-3142
Phone: (208) 587-3988
Fax: (208) 587-3324
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1134 E Maple St, Mapleton, UT 84664 — (785) 410-0950
  • 1134 E Maple St, Mapleton, UT 84664 — (785) 410-0950

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence NP-67308 (ID)
Nurse Practitioner Taxonomy 363L00000X · Licence 5905632-4405 (UT)

Record details

NPI number1669027793
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorYes
NPI enumeratedAugust 6, 2019
Last updated in NPPESJuly 27, 2021
Certification dateJuly 27, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Option Care Infusion Suites Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mountain Home