Active NPI
Rachel Paige Young, NP
- Family Nurse Practitioner
- Ashland City, TN
National Provider Identifier
1023601739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 29040
- Practice address
- 111 Pemberton Dr
Ashland City, TN 37015-1353 - Phone
- (731) 394-1145
- NPI assigned
- Feb 12, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 29040 | TN | |
| Family Nurse Practitioner | 363LF0000X | 29040 | TN | Primary |
Addresses
Primary practice location
111 Pemberton Dr
Ashland City, TN 37015-1353
Mailing address
409 Sedgwick LN
Clarksville, TN 37043-6384
Phone (410) 980-2917
Other names 1
- Mrs. Rachel Paige Wood
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Rachel.young@pop.Belmont.edu | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
254 Ren Mar Dr
Suite 100
Pleasant View, TN 37146-3723
Phone (615) 746-0203
Hospital & facility affiliations
- Tristar Northcrest Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29040 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents Medical Center PC | Family | Current | Accepting new patients |
Locations
254 Ren Mar Dr
Ste 100
Pleasant View, TN 37146
Phone (615) 746-0203
Interoperability endpoints
- rachel.young@pop.belmont.edu
Organizations & group practices 1
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.
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Springfield, TN
- NPI 1093397184
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1023601739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 SEDGWICK LN",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370436384",
"telephone_number": "410-980-2917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 PEMBERTON DR",
"city": "ASHLAND CITY",
"state": "TN",
"postal_code": "370151353",
"telephone_number": "731-394-1145"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "RACHEL",
"middle_name": "PAIGE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-12",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "29040",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "29040",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Rachel.young@pop.Belmont.edu",
"affiliation": "N",
"endpointDescription": "Rachel.young@pop.Belmont.edu",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "409 Sedgwick Ln",
"city": "Clarksville",
"state": "TN",
"country_code": "US",
"postal_code": "370436384",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "RACHEL",
"last_name": "WOOD",
"middle_name": "PAIGE",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Ashland City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.