Individual provider Active NPI

Jennifer Munksgard, MSN, ARNP, FNP-BC

  • Family Nurse Practitioner
  • Chiefland, FL
National Provider Identifier
1477944254
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN9231959 Issued in FL
Practice address
2471 N Young Blvd
Chiefland, FL 32626-9181
Phone
(352) 363-1034
NPI assigned
Feb 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN9231959 FL Primary

Addresses

Primary practice location

2471 N Young Blvd
Chiefland, FL 32626-9181

Mailing address

12918 SW 28TH PL
Archer, FL 32618-2145
Phone (352) 363-1034

Other names 1

  • Jennifer O'Steen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9231959FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1423872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1477944254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12918 SW 28TH PL",
            "city": "ARCHER",
            "state": "FL",
            "postal_code": "326182145",
            "telephone_number": "352-363-1034",
            "fax_number": "478-202-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 N YOUNG BLVD",
            "city": "CHIEFLAND",
            "state": "FL",
            "postal_code": "326269181",
            "telephone_number": "352-363-1034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNKSGARD",
        "first_name": "JENNIFER",
        "credential": "MSN, ARNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-14",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "RN9231959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "O'STEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chiefland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.