Adele E Young, P.N.P., PHD

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

0024146467 Issued in VA

Practice address

4379 Ridgewood Center Dr
Suite 102
Woodbridge, VA 22192-8323

Phone

(703) 680-7950

Fax

(703) 680-7953

NPI assigned

Dec 18, 2008

Last updated

May 3, 2012By 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

Other names 1

• Miss Adele Eissler Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

State licenses

Practice roles

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.

• Greater Prince William Area Community Health Center Inc

  dba Greater Prince William Community Health Center Dumfries

  • Federally Qualified Health Center (FQHC)
  • Dumfries, VA
  • NPI 1568838738
  NPD (past)

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1013153220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4379 RIDGEWOOD CENTER DR",
            "address_2": "STE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928323",
            "telephone_number": "703-680-7950",
            "fax_number": "703-680-7953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4379 RIDGEWOOD CENTER DR",
            "address_2": "SUITE 102",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221928323",
            "telephone_number": "703-680-7950",
            "fax_number": "703-680-7953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ADELE",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "P.N.P., PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-18",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "VA",
            "license": "0024146467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ADELE",
            "last_name": "EISSLER",
            "prefix": "MISS",
            "credential": "P.N.P., PHD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hong Bi Yoon, M.D.
• Jung Whan Yoon
• Wintana B. Yosief, CRNA
• Malik Anthony Youmans
• Gulrukh Younas
• Christi P Young, OT
• Jennifer Anne Youngblood, MA, LPC
• Abraham Mohammed Younoszai, DMD
• Hamza Yousafzai
• Abdul Wakil Yousofzai

• Pediatric Nurse Practitioner in Woodbridge, VA
• Providers in Woodbridge, VA by specialty
• Pediatric Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.