Kellie Ann Northam
PMHNP-BC, CNM | Nurse Practitioner - Psych/Mental Health
116 18th Ave S, Nampa
Idaho, 83651-4841
208-639-2700
Kellie Ann Northam is a Nampa, Idaho based nurse practitioner who is specialized as Psych/Mental Health nurse. Active license number of Kellie Ann Northam is 61450 for Psych/Mental Health in Idaho. Her current practice location is 116 18th Ave S, Nampa. Patients can reach her at 208-639-2700 or can fax her at 208-639-2736. Kellie Ann Northam is PMHNP-BC, CNM with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1053650010.
Kellie Ann Northam provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Kellie Ann Northam speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Kellie Ann Northam |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | PMHNP-BC, CNM |
| Practice Address: | 116 18th Ave S, Nampa,
Idaho, 83651-4841 |
| Phone: | 208-639-2700 |
| Fax: | 208-639-2736 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1053650010 |
| NPI Enumeration Date: | 11 Feb, 2013 |
| NPI Last Update On: | 05 Dec, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Kellie Ann Northam are as mentioned below.
| License Number | Specialization | State | Status | |
| 61450 | Psych/Mental Health | Idaho | Primary | |
| CNM81-A | Advanced Practice Midwife | Idaho | Secondary | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Kellie Ann Northam
116 18th Ave S,
Nampa, Idaho |
| Zip: | 83651-4841 |
| Phone Number: | 208-639-2700 |
| Fax Number: | 208-639-2736 |
Patients can reach Kellie Ann Northam at
116 18th Ave S, Nampa, Idaho or can
call to book an appointment on 208-639-2700.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.