BREEZY MICHELLE MENDOZA PMHNP FNP NPI 1679016885

NPI Information

  • NPI: 1679016885
  • Provider Name: BREEZY MICHELLE MENDOZA, PMHNP, FNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 16620 N 40TH ST STE E1
    PHOENIX, AZ
    ZIP 85032
  • Phone: (602) 464-9576

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NPI Details

Breezy Michelle Mendoza, PMHNP, FNP is a psychiatric/mental health nurse practitioner in Phoenix, AZ. Breezy Michelle Mendoza, PMHNP, FNP NPI is 1679016885. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

16620 N 40TH ST STE E1
PHOENIX, AZ
ZIP 85032-357
Phone: (602) 464-9576

The NPI 1679016885 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Urinalysis, manual test (HCPCS:81002)
  • Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19) and influenza virus types a and b (HCPCS:87636)

The enumeration date for this NPI number is 11/21/2016 and was last updated on 2/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerAP61195153WASHINGTONNo
2363LP0808XNurse PractitionerPsychiatric/Mental Health1160775TEXASNo
3363L00000XNurse PractitionerC-APN.0100289-C-NPCOLORADONo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthAP9650ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1219432MEDICAIDARIZONA
2Z196640OTHERARIZONAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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