Sydney Young
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Desoto, MO
NPI 1013786342 · NPPES record last updated Dec 28, 2023
Key facts
- NPI
- 1013786342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 5000 Remington Rd
Desoto, MO 63020 - Phone
- (636) 543-1134
- NPI assigned
- Dec 28, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
5000 Remington Rd
Desoto, MO 63020
Mailing address
5000 Remington Rd
Desoto, MO 63020
Phone (636) 543-1134
Other providers in Desoto, MO
- Megan Kathleen Dixon
- Terence A. Friskel
- Living Well Counseling, LLC
- Midwest Medical Practitioners LLC
- Steven Crawford
All providers in Desoto, MO · Student in an Organized Health Care Education/Training Program in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.