Active NPI
Stacey Haas Young, D.C.
- Chiropractor
- Westfield, IN
National Provider Identifier
1003129966
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 08005215A
- Practice address
- 785 E Main St
Westfield, IN 46074-9440 - Phone
- (317) 399-5695
- Fax
- (317) 804-8300
- NPI assigned
- Jul 21, 2010
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 08005215A | IN | Primary |
Addresses
Primary practice location
785 E Main St
Westfield, IN 46074-9440
Mailing address
17330 Sunset Maple LN
1611
Westfield, IN 46074-6015
Phone (317) 757-9442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201152900A | Medicaid | IN |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08005215A | IN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1003129966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17330 SUNSET MAPLE LN",
"address_2": "1611",
"city": "WESTFIELD",
"state": "IN",
"postal_code": "460746015",
"telephone_number": "317-757-9442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "785 E MAIN ST",
"city": "WESTFIELD",
"state": "IN",
"postal_code": "460749440",
"telephone_number": "317-399-5695",
"fax_number": "317-804-8300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "STACEY",
"middle_name": "HAAS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-21",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "IN",
"license": "08005215A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201152900A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westfield, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.