KELLIE ANN NORTHAM (NPI# 1053650010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053650010 |
Entity Type | Individual |
Full Name | KELLIE ANN NORTHAM |
Credential | CNM |
Practice Address |
192 West State Street Eagle ID 83616 |
Mailing Address |
919 13th Ave S Nampa ID 83651-4618 |
Practice Telephone | 2088072867 |
Practice Fax Number | 2086392736 |
Mailing Telephone | 7128280234 |
Mailing Fax Number | 2089658789 |
Enumeration Date | 2013-02-11 |
Last Update Date | 2019-05-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
CNP | ID | Physician Assistants & Advanced Practice Nursing Providers |
Y | 367A00000X | Advanced Practice Midwife | CNM81-A | ID | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
182 W State St, Eagle, ID 83616 | 2086392700 | 2089658789 |
Street Address |
192 WEST STATE STREET |
City | EAGLE |
State | ID |
Zip Code | 83616 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730714049 | Care Medical Housecalls PC | Nurse Practitioner | 2040 E Holgate Ct, Eagle, ID 83616 | 2020-03-06 |
1629613823 | Counseling Solutions Center LLC | Marriage & Family Therapist | 2618 East Snocreek, Eagle, ID 83616 | 2019-11-12 |
1245726918 | Tracy Lyn Hagadorn | Midwife | 182 State Street, Eagle, ID 83616 | 2018-07-06 |
1861922627 | Nicholas A. Stelzner | Counselor | 2419 W. State St. Suite 8, Boise, ID 83616 | 2017-06-14 |
1184080210 | Gabriel Guerrero | Dermatology | 323 E Riverside Dr Ste 234, Eagle, ID 83616 | 2016-01-05 |
1376940668 | Cecilia Jo Hickam | Dental Hygienist | 1121 E. State Street, Suite - 102-d, Eagle, ID 83616 | 2014-12-02 |
1871912634 | Christine E Birch | Psychiatry & Neurology | 1032 S Bridgeway Pl Ste 110, Eagle, ID 83616 | 2014-04-09 |
1043552524 | Tori Croshaw | Social Worker | 372 S Eagle Rd Ste 190, Eagle, ID 83616 | 2013-03-21 |
1437494457 | Mary Beth Roehling | Nurse Practitioner | 2040 E Hologate Ct, Eagle, ID 83616 | 2012-12-03 |
1659629244 | Lily Caywood | Speech-Language Pathologist | 935 E. Winding Creek Dr. Ste. 120, Eagle, ID 83616 | 2012-08-29 |
Find all providers in zip 83616 |
Taxonomy Code | 367A00000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Advanced Practice Midwife |
Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861090219 | Suzanne Moore Wilbrecht | Advanced Practice Midwife | 4800 S 1000 E, Victor, ID 83455-5443 | 2020-10-16 |
1104443290 | Sierra Bandler Shaffer | Advanced Practice Midwife | 207 W Washington St # 5989, Boise, ID 83702-5941 | 2020-07-06 |
1972128395 | Erin M Warrenburg | Advanced Practice Midwife | 9850 W St Lukes Dr # 129, Nampa, ID 83687-7912 | 2020-06-11 |
1376178400 | Christina May Hatley | Advanced Practice Midwife | 850 E Trinity Ct, Coeur D Alene, ID 83815-7325 | 2020-03-09 |
1215562509 | Nicole Marie Weiss | Advanced Practice Midwife | 411 S Polk St, Moscow, ID 83843-3356 | 2020-03-06 |
1689216095 | Machelle F. Peterson | Advanced Practice Midwife | 1301 Mica Mountain Rd, Deary, ID 83823-9641 | 2019-10-17 |
1790338291 | Heather L Witters | Advanced Practice Midwife | 1418 Grelle Ave, Lewiston, ID 83501-5830 | 2019-07-23 |
1053857664 | Catherine R Obosky | Advanced Practice Midwife | 16111 N Brinson St, Suite 110, Nampa, ID 83687-5509 | 2017-01-06 |
1801284211 | Michele Darcy Evans | Advanced Practice Midwife | 605 N Moore St, Moscow, ID 83843-3255 | 2015-01-07 |
1699163170 | Jessica Bennett | Advanced Practice Midwife | 3679 S Shortleaf Ave, Boise, ID 83716-8617 | 2015-01-06 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.