Desiree A Desjardins, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

R27966 Issued in ND

Practice address

3108 S Broadway Ste H
Minot, ND 58701-3127

Phone

(701) 852-8502

Fax

(701) 425-0402

NPI assigned

Jun 11, 2010

Last updated

Oct 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Desiree A Striha Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1276214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1356661474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 S BROADWAY STE H",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013127",
            "telephone_number": "701-852-8502",
            "fax_number": "701-425-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3108 S BROADWAY STE H",
            "city": "MINOT",
            "state": "ND",
            "postal_code": "587013127",
            "telephone_number": "701-852-8502",
            "fax_number": "701-425-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESJARDINS",
        "first_name": "DESIREE",
        "middle_name": "A",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-11",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "R27966",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475416",
            "state": "ND"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DESIREE",
            "last_name": "STRIHA",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Allen P Deplazes
• Brandee Derheim
• Amber Derr
• David A Desautel, CRNA
• Cameron Thomas Deschamp, O.D.
• Norma J Desjarlais
• Darla F Deslauriers, LAC
• Peter P. Dettlaff, O.D.
• Joat Dhaliwal, MD
• Patricio Rafael Dibble, DMD

• Nurse Practitioner in Minot, ND
• Providers in Minot, ND by specialty
• Nurse Practitioner in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.