Devina Nadine Mendoza

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71583 Issued in ID

Practice address

19577 Stowe Way
Caldwell, ID 83605-1231

Phone

(208) 985-3290

NPI assigned

Oct 5, 2026

Last updated

Oct 5, 2026By the provider in NPPES

Sex

Unspecified or another gender identity

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": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1912801952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19577 STOWE WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836051231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19577 STOWE WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836051231",
            "telephone_number": "208-985-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "DEVINA",
        "middle_name": "NADINE",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "71583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Med Air, Inc.
• Medical Clinic Pharmacy Inc (Medical Clinic Pharmacy)
• Genesis Sarai Melara, LPC
• Annamaria Melton, D.O.
• Alexandra Mendez, LMSW
• Micah S Mills OD PA (Treasure Valley Eyecare)
• Michael D Kenner, MD,PC
• Jacob Michelsen, PA
• Robert W Mickelson
• Andrea Mikkelson, LPC

• Family Nurse Practitioner in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Family Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.