Jean Claude Mupenzi

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

7121 E Kilkenny CT
Nampa, ID 83687-1212

Phone

(208) 803-7907

NPI assigned

Sep 3, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1396654513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7121 E KILKENNY CT",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836871212",
            "telephone_number": "208-803-7907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7121 E KILKENNY CT",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836871212",
            "telephone_number": "208-803-7907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUPENZI",
        "first_name": "JEAN CLAUDE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Lee Muller, LPC
• Deanna Mae Mullins, LCSW
• John Mullins, MD
• Shatae Mullins
• Catalina Melisa Munguia, RPH
• Michelle Murchie, PHARMD
• Heidi Murillo-Diaz, MSW
• Tiffany-Brooke Murphy
• Stacy Allyn Murray-Williams, LPC
• Brigham Derk Murray, CRNA

• Community Health Worker in Nampa, ID
• Providers in Nampa, ID by specialty
• Community Health Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.