Active NPI
Desiree Jungfleisch, MSN, FNP-C
- Family Nurse Practitioner
- East Liverpool, OH
National Provider Identifier
1497512545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.0035947
- Practice address
- 142 W 5TH St
East Liverpool, OH 43920-2901 - Phone
- (330) 385-2273
- NPI assigned
- Mar 5, 2024
- Last updated
- Mar 5, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.0035947 | OH | Primary |
Addresses
Primary practice location
142 W 5TH St
East Liverpool, OH 43920-2901
Mailing address
417 Primrose LN
East Liverpool, OH 43920-9472
Phone (330) 831-7794
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)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.0035947 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mapa & Mapa MD. Inc | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1497512545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 PRIMROSE LN",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439209472",
"telephone_number": "330-831-7794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "142 W 5TH ST",
"city": "EAST LIVERPOOL",
"state": "OH",
"postal_code": "439202901",
"telephone_number": "330-385-2273"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUNGFLEISCH",
"first_name": "DESIREE",
"credential": "MSN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-05",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.0035947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Liverpool, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.