NPIMap

Individual provider Active NPI

Kate Elizabeth Young, FNP

  • Family Nurse Practitioner
  • San Angelo, TX
National Provider Identifier
1033767504
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142203 Issued in TX
Practice address
2626 N Bryant Blvd
San Angelo, TX 76903-2861
Phone
(325) 747-2104
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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 AP142203 TX Primary

Addresses

Primary practice location

2626 N Bryant Blvd
San Angelo, TX 76903-2861

Mailing address

2205 S Bridge St Ste 300
Brady, TX 76825-7552
Phone (325) 597-0102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200908000324 TX Practitioner - Nurse Practitioner 0941627921 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
The West Texas Rehabilitation CenterGroup PAC ID 2860301215, shared by 5 NPIs, 444 clinicians

Practice addresses (Care Compare)

2626 N Bryant Blvd
San Angelo, TX 76903-2861
Phone (325) 747-1511

4601 Hartford St
Abilene, TX 79605-4603
Phone (325) 793-3411

Hospital & facility affiliations

  • Angels Care Home Health of San Angelo Home health agency, San Angelo, TX, CCN 679429
  • Paradigm Homecare Home health agency, San Angelo, TX, CCN 747233
  • Enhabit Home Health Home health agency, Abilene, TX, CCN 679184
  • Country Home Health Home health agency, San Angelo, TX, CCN 679469
  • Shannon Home Health Services Home health agency, San Angelo, TX, CCN 457646
  • Shannon Medical Center Hospital, San Angelo, TX, CCN 450571
  • Heart of Texas Memorial Hospital Hospital, Brady, TX, CCN 451348
  • Ballinger Memorial Hospital Hospital, Ballinger, TX, CCN 451310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP142203TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Frontera Healthcare Network CurrentSince Jul 3, 2020 Accepting new patients
Frontera Healthcare Network Current Accepting new patients
Shannon Clinic CurrentSince Apr 15, 2023 Accepting new patients
Frontera Healthcare Network CurrentSince Jul 3, 2020 Accepting new patients

Locations

2205 S Bridge St
Ste 300
Brady, TX 76825
Phone (325) 597-0102

3555 Knickerbocker Rd
San Angelo, TX 76904
Phone (325) 224-5411

3016 Vista del Arroyo Dr
San Angelo, TX 76904
Phone (325) 747-2004

2626 N Bryant Blvd
San Angelo, TX 76903
Phone (325) 481-2000

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

Interoperability endpoints

  • Direct secure messaging: kyoung8438@shannonhealth.direct-ci.com

Organizations & group practices 4

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 9

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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1033767504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2205 S BRIDGE ST STE 300",
            "city": "BRADY",
            "state": "TX",
            "postal_code": "768257552",
            "telephone_number": "325-597-0102",
            "fax_number": "325-597-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 N BRYANT BLVD",
            "city": "SAN ANGELO",
            "state": "TX",
            "postal_code": "769032861",
            "telephone_number": "325-747-2104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KATE",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Angelo, TX

Sources for this page

Verify at the official NPI Registry.