Individual provider Active NPI

Myla Junge, FNP, RN

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1861844789
Registry record updated Mar 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012199 Issued in CA
Practice address
50 Beale St
12TH Floor
San Francisco, CA 94105-1813
Phone
(415) 547-7818
NPI assigned
Jul 2, 2016
Reactivated
Oct 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95012199 CA Primary
Registered Nurse 163W00000X 796831 CA

Addresses

Primary practice location

50 Beale St
12TH Floor
San Francisco, CA 94105-1813

Mailing address

35 Tacoma St Apt 5
San Francisco, CA 94118-2823
Phone (415) 385-2405

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
796831CAMDRegistered Nurse
95012199CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1467417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615852800000",
    "number": "1861844789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TACOMA ST APT 5",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941182823",
            "telephone_number": "415-385-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BEALE ST",
            "address_2": "12TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941051813",
            "telephone_number": "415-547-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNGE",
        "first_name": "MYLA",
        "credential": "FNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-02",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "deactivation_date": "2019-10-01",
        "reactivation_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012199",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "796831",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 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.