Shanelle Bianca Young, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F352467 Issued in NY

Practice address

150 55TH St Unit 4600
Brooklyn, NY 11220-2508

Phone

(929) 355-0200

NPI assigned

Aug 10, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1013690494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 ARDSLEY LOOP APT 7H",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112391310",
            "telephone_number": "929-355-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 55TH ST UNIT 4600",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112202508",
            "telephone_number": "929-355-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SHANELLE",
        "middle_name": "BIANCA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NY",
            "license": "F352467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psyche Young
• Robin L. Young, RN, BSN
• Samantha Young, LMSW
• Samantha Young, DPM
• Sara Young, RDN
• Shannon Kerry Young, LMSW
• Shari Young
• Sophie Young, L.AC
• Sorophina Young, MSN, RN, ACNS-BC
• Tamoi Young

• Primary Care Nurse Practitioner in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Primary Care Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.