Micheline Diane Iungerich, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4328 Issued in CA

Practice address

2501 McHenry Ave Ste F
Modesto, CA 95350-3257

Phone

(209) 522-9054

Fax

(209) 522-2631

NPI assigned

Aug 25, 2009

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Aspen Family Medical Group of Modesto Inc.

  • Non-Pharmacy Dispensing Site
  • Modesto, CA
  • NPI 1457779043
  NPD (past)
• Aspen Family Medical Group of Modesto, Inc.

  • Family Medicine Physician
  • Modesto, CA
  • NPI 1467533737
  NPD (past)

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1396978367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2017 MONTICELLO AVE",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953502912",
            "telephone_number": "209-470-0079",
            "fax_number": "209-846-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 MCHENRY AVE STE F",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953503257",
            "telephone_number": "209-522-9054",
            "fax_number": "209-522-2631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IUNGERICH",
        "first_name": "MICHELINE",
        "middle_name": "DIANE",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "4328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arman Israelyan, DO
• Yuri Ito, D.O.
• Kriengsak Itsara, MD
• Sudjai Itsara, M.D.
• Palepa Iulio
• Gayle Patricia Ivy, RN
• Eric Iwata
• Sherin Hamdul Izchi
• Cheyanne Izquierdo, B.A
• J. Michael Boyd, D.D.S., Inc.

• Nurse Practitioner in Modesto, CA
• Providers in Modesto, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.