Kristen M Young, AU.D.

Primary specialty

AudiologistTaxonomy code 231H00000X

Practice address

2441 Lake Shore Dr
Woodstock, IL 60098-6911

Phone

(815) 338-4600

Fax

(815) 338-4611

NPI assigned

Jan 18, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Qualified Audiologist

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Roman J. Dykun, MDGroup PAC ID 7416997036, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Roman J. Dykun, MD

  dba Affiliated Ear, Nose and Throat Physicians

  • Otolaryngology Physician
  • Woodstock, IL
  • NPI 1407944325
  Medicare reassignment Care Compare group NPD
• Affiliated Ear, Nose and Throat Physicians

  • Otolaryngology Physician
  • Ingleside, IL
  • NPI 1619012010
  NPD (past)

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003969718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2441 LAKE SHORE DR",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600986911",
            "telephone_number": "815-338-4600",
            "fax_number": "815-338-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2441 LAKE SHORE DR",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600986911",
            "telephone_number": "815-338-4600",
            "fax_number": "815-338-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KRISTEN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Woodstock Stuttering Specialist
• Woodstock Therapist LLC
• Woodstock Urgent Care and Integrated Medicine PC
• Sandra E Woznicki, LCPC
• WRHC & RC Inc. (Woodstock Residence)
• Tiffanie Ann Young, MS, RD, LDN
• Michael A Zaino, MD
• Ricca Zaino, MD
• Magdalena Zelazko
• Jesell Zepeda, RD

• Audiologist in Woodstock, IL
• Providers in Woodstock, IL by specialty
• Audiologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.