Mi Young Jung, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1130139 Issued in TX

Practice address

2959 S Buckner Blvd Ste 700
Dallas, TX 75227-6950

Phone

(214) 206-4974

NPI assigned

Aug 17, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mi.young.jung.1@18822.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CIIBCD

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.

• Fivestar Pulmonary Associates PLLC

  • Pulmonary Disease Physician
  • Allen, TX
  • NPI 1225647423
  Medicare reassignment NPD
• Topcare Medical PA

  dba Clinicas Mi Doctor

  • Specialist
  • Irving, TX
  • NPI 1043231400
  NPD (past)

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1508346685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 S BUCKNER BLVD STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276950",
            "telephone_number": "214-206-4974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 S BUCKNER BLVD STE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276950",
            "telephone_number": "214-206-4974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "MI YOUNG",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-17",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "910291",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1130139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Charles Jung, M.D.
• Claire Jung, PA-C
• Harry H Jung III, M.D.
• Ja Young Jung
• Kyungseok Jung, MD
• Michelle Misook Jung, AC
• Mooyeol Jung, D.C.
• Pyeong-Soo Jung, LPC
• Shari Porter Jung, LCSW, LMFT, CGP
• Stephanie Jung

• Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.