Individual provider Active NPI

Chundrekia T Young, RMAMEDICAL ASSISTANT

  • Health Educator
  • Mobile, AL
National Provider Identifier
1053205351
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
119011 Issued in AL
Practice address
100 Carondolet CT S
Mobile, AL 36608-5710
Phone
(251) 406-5527
Fax
(251) 406-5527
NPI assigned
Jun 3, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebology Physician 202K00000X 119011 AL
Other Technician 247200000X 119011 AL
Health Educator 174H00000X 119011 AL Primary

Addresses

Primary practice location

100 Carondolet CT S
Mobile, AL 36608-5710

Mailing address

100 Carondolet CT S
Mobile, AL 36608-5710
Phone (251) 406-5527

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
119011ALMDHealth Educator

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Gulf Coast LLC CurrentSince Jun 8, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1748908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1053205351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CARONDOLET CT S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366085710",
            "telephone_number": "251-406-5527",
            "fax_number": "251-406-5527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARONDOLET CT S",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366085710",
            "telephone_number": "251-406-5527",
            "fax_number": "251-406-5527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CHUNDREKIA",
        "middle_name": "T",
        "credential": "RMAMEDICAL ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-03",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "202K00000X",
            "taxonomy_group": "",
            "desc": "Phlebology",
            "state": "AL",
            "license": "119011",
            "primary": false
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "AL",
            "license": "119011",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "AL",
            "license": "119011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; 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.