VICKY MULENDELA
NPI 1124982400
Community Health Worker in Boise, ID

Active since December 11, 2025
9428 W FAIRVIEW AVE, BOISE, ID 83704(208) 807-4970 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 2, 2026, Dec 11, 2025 (2 updates tracked since 2025).

About Vicky Mulendela NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VICKY MULENDELA (NPI 1124982400) is an individual community health worker in Boise, Idaho and active in the NPI registry since December 2025.

NPPES Registry Identity

NPI1124982400
Entity TypeIndividualFemale
Primary Taxonomy172V00000X
Provider Legal NameVICKY MULENDELA
Location Address9428 W FAIRVIEW AVEBoise, ID 83704-8101
Mailing Address4175 S Leaning Tower AveMeridian, ID 83642-5242
Sole ProprietorYes
Enumeration DateDecember 11, 2025
Last NPPES UpdateMarch 2, 20262 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
NPI 1124982400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
Definition

Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.

9428 W FAIRVIEW AVE, Boise, ID 83704

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacy
9428 W FAIRVIEW AVE
BOISE, ID 83704
Nurse Practitioner (Family)
9428 W FAIRVIEW AVE
BOISE, ID 83704
In Home Supportive Care
9428 W FAIRVIEW AVE
BOISE, ID 83704
Community/Behavioral Health
9428 W FAIRVIEW AVE
BOISE, ID 83704
Peer Specialist
9428 W FAIRVIEW AVE
BOISE, ID 83704
Community Health Worker
9428 W FAIRVIEW AVE
BOISE, ID 83704
Peer Specialist
9428 W FAIRVIEW AVE
BOISE, ID 83704

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vicky Mulendela's NPI number?

The NPI number for Vicky Mulendela is 1124982400. It was assigned to this individual provider in the NPPES registry on December 11, 2025.

Where is Vicky Mulendela located?

Vicky Mulendela practices at 9428 W Fairview Ave, Boise, ID 83704. The listed phone number is (208) 807-4970.

What is Vicky Mulendela's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

When was this NPI record last updated?

The NPPES record for Vicky Mulendela was last updated on March 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.