Individual provider Active NPI

Christine Bonnie Young, APRN

  • Family Nurse Practitioner
  • Provo, UT
National Provider Identifier
1033329743
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
280411-8900 Issued in UT
Practice address
Brigham Young University
College of Nursing-500 Spencer W Kimball Tower
Provo, UT 84602
Phone
(801) 422-4142
NPI assigned
May 23, 2007
Last updated
Feb 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 280411-8900 UT Primary

Addresses

Primary practice location

Brigham Young University
College of Nursing-500 Spencer W Kimball Tower
Provo, UT 84602

Mailing address

2177 Emerson Ave
Salt Lake City, UT 84108-2303
Phone (801) 582-2377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
280411-8900UTMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202947200000",
    "number": "1033329743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2177 EMERSON AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841082303",
            "telephone_number": "801-582-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BRIGHAM YOUNG UNIVERSITY",
            "address_2": "COLLEGE OF NURSING-500 SPENCER W KIMBALL TOWER",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "84602",
            "telephone_number": "801-422-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CHRISTINE",
        "middle_name": "BONNIE",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2008-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "280411-8900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Provo, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.