Misty Blue Youngbear, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LPN14094 Issued in NV

Practice address

705 Hwy 446
Nixon, NV 89424

Phone

(775) 574-1018

Fax

(775) 574-1028

NPI assigned

May 14, 2007

Last updated

Jan 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1033325600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 GREGORY STREET",
            "address_2": "PO BOX 757",
            "city": "WADSWORTH",
            "state": "NV",
            "postal_code": "89442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 HWY 446",
            "city": "NIXON",
            "state": "NV",
            "postal_code": "89424",
            "telephone_number": "775-574-1018",
            "fax_number": "775-574-1028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBEAR",
        "first_name": "MISTY",
        "middle_name": "BLUE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-14",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NV",
            "license": "822707",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NV",
            "license": "LPN14094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rita Romo
• Karen A. Shaw
• Beverly Teichgraeber, R.N.
• Judy Ann Thomas, APN
• William Earl Wilson, RPH
• Debra D Zayac, RN

• Licensed Practical Nurse in Nixon, NV
• Providers in Nixon, NV by specialty
• Licensed Practical Nurse in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; 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.