Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kaylynn Marie-Winwood Lopez

Individual provider Family Nurse Practitioner · NPI 1336772029

Kaylynn Marie-Winwood Lopez is a Nurse Practitioner in Boise, Idaho. Qualified in 2019, 7 years ago. Practices with St Lukes Clinic-Treasure Valley LLC, a 1,150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Idaho.

Years since qualifying
7
Licensed in
ID
In the registry since
2020
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Practice location Address checks out

190 E Bannock St
Boise, ID 83712-6241
Phone: (208) 385-3230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2523 S 10th Ave Ste 103, Caldwell, ID 83605-6760 — (208) 459-7788

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 63946 (ID)

Record details

NPI number1336772029
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 20, 2020
Last updated in NPPESMay 16, 2022
Certification dateMay 16, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice St Lukes Clinic-Treasure Valley Llc — 1150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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