Individual provider Active NPI

Rachel Paige Young, NP

  • Family Nurse Practitioner
  • Ashland City, TN
National Provider Identifier
1023601739
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29040 Issued in TN
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

Updated by the provider on Apr 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511001604 TN Practitioner - Nurse Practitioner 5698184232 Reassigns benefits to 1 organization

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
Regents Medical Center PCGroup PAC ID 2062441181, 9 clinicians

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 Hospital, Springfield, TN, CCN 440065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
29040TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents Medical Center PC Family CurrentSince Apr 7, 2024 Accepting new patients

Locations

254 Ren Mar Dr
Ste 100
Pleasant View, TN 37146
Phone (615) 746-0203

Interoperability endpoints

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.