Joanne Desire, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

420776 Issued in NY

Practice address

119 Nassau Ave
Freeport, NY 11520-5518

Phone

(516) 298-7603

NPI assigned

Dec 11, 2020

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1255927489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 NASSAU AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115205518",
            "telephone_number": "516-298-7603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 NASSAU AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115205518",
            "telephone_number": "516-298-7603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESIRE",
        "first_name": "JOANNE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "420776",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Delmont, M.D.
• Delores Baronette
• Christina Rose Depaola, MSW
• Anne Depasquale
• Lauren Deriggs
• Thonysha Desire, LMSW
• Joan Desmond
• Myralynne Destefano
• Joane Destin
• Nadine Detrano

• Women's Health Nurse Practitioner in Freeport, NY
• Providers in Freeport, NY by specialty
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.