Carol Blackwood Young, APRN

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

11027424 Issued in FL

Practice address

5112 N Habana Ave
Tampa, FL 33614-6873

Phone

(813) 374-2406

NPI assigned

Sep 21, 2023

Sex

Female

Sole proprietor

Yes

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 FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Accord Medical Group,PLLCGroup PAC ID 2062685241, 6 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southwest Florida Home Care Inc Home health agency, Tampa, FL, CCN 687063
• Senior Support Servicing, LLC Home health agency, Hillsborough, FL, CCN 687162
• Trilogy Home Healthcare Home health agency, Tampa, FL, CCN 103145
• Palms Home Care Home health agency, Sebring, FL, CCN 108305
• St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DHDIAA/Endpoint/DHDIAA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Accord Medical Group,PLLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1528399276

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Balanced Home Healthcare, Inc.

  • Home Health Agency
  • Tampa, FL
  • NPI 1740509876
  Care Compare affiliation
• Highland County Home Care LLC

  • Home Health Agency
  • Sebring, FL
  • NPI 1033974852
  Care Compare affiliation
• Senior Support Servicing, LLC

  • Home Health Agency
  • Tampa, FL
  • NPI 1033732490
  Care Compare affiliation
• Southwest Florida Home Care Inc

  • Home Health Agency
  • Tampa, FL
  • NPI 1962051953
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1013795889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7613 DEVONBRIDGE GARDEN WAY",
            "city": "APOLLO BEACH",
            "state": "FL",
            "postal_code": "335721516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5112 N HABANA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336146873",
            "telephone_number": "813-374-2406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWOOD YOUNG",
        "first_name": "CAROL",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "FL",
            "license": "11027424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Steven Blackwelder, DDS
• Deborah Blackwell Owensby
• Deandre D Blackwell
• Grayson Blackwell
• Vicki M Blackwell, PA
• Bob B. Blackwood, LCSW
• Harriet Debra Bladuell, MSCCC-SLP
• Brian Michael Blair
• Crystal Elaine Blair, ARNP
• Jesse Blair

• General Practice Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.