Active NPI
Holly Nichole Young
- Family Nurse Practitioner
- Altamonte Springs, FL
National Provider Identifier
1043721988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP9355411
- Practice address
- 251 Maitland Ave Ste 116
Altamonte Springs, FL 32701-4913 - Phone
- (407) 915-5643
- Fax
- (407) 960-2602
- NPI assigned
- Oct 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP9355411 | FL | Primary |
Addresses
Primary practice location
251 Maitland Ave Ste 116
Altamonte Springs, FL 32701-4913
Mailing address
PO Box 940145
Maitland, FL 32794-0145
Phone (407) 915-5643
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
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP9355411 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lancelot O Alexander MD a Medical Corporation | Past | Accepting new patients | |
| Adventhealth Orlando Cardiac & Vascular Specialists LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Interventional Cardiology Physician
- Altamonte Springs, FL
- NPI 1578448031
-
- Specialist
- Salinas, CA
- NPI 1134279532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512604800000",
"number": "1043721988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 940145",
"city": "MAITLAND",
"state": "FL",
"postal_code": "327940145",
"telephone_number": "407-915-5643",
"fax_number": "407-960-2602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 MAITLAND AVE STE 116",
"city": "ALTAMONTE SPRINGS",
"state": "FL",
"postal_code": "327014913",
"telephone_number": "407-915-5643",
"fax_number": "407-960-2602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "HOLLY",
"middle_name": "NICHOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-18",
"last_updated": "2017-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP9355411",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Altamonte Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.