Charlie Rae Young, LM, CPM, CLC

Primary specialty

MidwifeTaxonomy code 176B00000X

License

MW276 Issued in FL

Practice address

2746 N Florida Ave
Tampa, FL 33602-1522

Phone

(813) 515-0825

Fax

(813) 515-0825

NPI assigned

Apr 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• Barefoot Birth

  • Midwife
  • Dover, FL
  • NPI 1144657834
  NPD (past) Authorized official

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

{
    "created_epoch": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1023335023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 265",
            "city": "SYDNEY",
            "state": "FL",
            "postal_code": "335870265",
            "telephone_number": "813-944-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2746 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336021522",
            "telephone_number": "813-515-0825",
            "fax_number": "813-515-0825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 Sydney Washer Rd",
            "address_purpose": "LOCATION",
            "city": "Sydney",
            "state": "FL",
            "postal_code": "33587",
            "country_code": "US",
            "telephone_number": "813-944-9120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CHARLIE",
        "middle_name": "RAE",
        "credential": "LM, CPM, CLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-29",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "FL",
            "license": "MW276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ahsha Young
• Andrew L. Young, MD
• Brandon A Young
• Caroline Young, ARNP
• Cathy Young, ARNP
• Christina Young
• Christopher L Young, M.D.
• Diann Young
• Esmeralda H Young, ARNP
• Heather L Young, COTA/L

• Midwife in Tampa, FL
• Providers in Tampa, FL by specialty
• Midwife in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.