Individual provider Active NPI

Lina Maria Jimenez Mendoza, NURSE PRACTITIONER

  • Nurse Practitioner
  • Norfolk, VA
National Provider Identifier
1336750231
Registry record updated Aug 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0024198606 Issued in VA
Practice address
2533 Console Ave
Norfolk, VA 23518-4509
Phone
(201) 344-9537
NPI assigned
Aug 13, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 0024198606 VA Primary

Addresses

Primary practice location

2533 Console Ave
Norfolk, VA 23518-4509

Mailing address

2533 Console Ave
Norfolk, VA 23518-4509
Phone (201) 344-9537

Other names 1

  • Mrs. Lina M Jimenez Mendoza Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
NJDCATEMP-018577NJMDLicensed Practical Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787875200000",
    "number": "1336750231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2533 CONSOLE AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235184509",
            "telephone_number": "201-344-9537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2533 CONSOLE AVE",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235184509",
            "telephone_number": "201-344-9537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ MENDOZA",
        "first_name": "LINA",
        "middle_name": "MARIA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-13",
        "last_updated": "2026-08-28",
        "certification_date": "2026-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024198606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINA",
            "last_name": "JIMENEZ MENDOZA",
            "middle_name": "M",
            "prefix": "MRS.",
            "credential": "FNP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.