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

Kellie Ann Northam, PMHNP-BC, CNM

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1053650010

Kellie Ann Northam, PMHNP-BC, CNM is a Psychiatric/Mental Health Nurse Practitioner in Nampa, Idaho. Licensed in Idaho. Registered with an NPI since 2013.

Licensed in
ID
In the registry since
2013
Specialties on file
2
What do these letters mean?
PMHNP-BC — Psychiatric-Mental Health Nurse Practitioner, Board Certified
A board-certified psychiatric nurse practitioner.
CNM — Certified Nurse-Midwife
An advanced practice nurse who provides prenatal care and delivers babies.

See every abbreviation used in this directory →

Practice location Address checks out

116 18th Ave S
Nampa, ID 83651-4841
Phone: (208) 639-2700
Fax: (208) 639-2736
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 61450 (ID)
Advanced Practice Midwife Taxonomy 367A00000X · Licence CNM81-A (ID)

Record details

NPI number1053650010
Entity typeIndividual (Type 1)
GenderFemale
Credentials PMHNP-BC , CNM
Sole proprietorNo
NPI enumeratedFebruary 11, 2013
Last updated in NPPESDecember 5, 2025
Certification dateDecember 5, 2025

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