Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Desiree Maynard

Individual provider Registered Nurse · NPI 1275419665

Desiree Maynard is a Nurse Practitioner in Cincinnati, Ohio. Qualified in 2019, 7 years ago. Practices with The Little Clinic of Ohio LLC, a 219-clinician group and accepts Medicare assignment. Licensed in California, Hawaii and Ohio.

Years since qualifying
7
Licensed in
CA, HI, OH
In the registry since
2025
Specialties on file
4
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Practice location Address checks out

1 W Corry St
Cincinnati, OH 45219-1901
Phone: (513) 872-1530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence APRN.CNP.0040488 (OH)
Registered Nurse Taxonomy 163W00000X · Licence 103191 (HI)
Registered Nurse Taxonomy 163W00000X · Licence 95269665 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 463342 (OH)

Record details

NPI number1275419665
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 12, 2025
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025
Mailing addressPo Box 932958, Cleveland, OH 44193-0028

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice The Little Clinic Of Ohio Llc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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