Younger Fasuekoi, HHA/LNA

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

249313 Issued in AZ

Practice address

5190 N 55TH Ave Apt 250
Glendale, AZ 85301-7543

Phone

(763) 283-7679

NPI assigned

Jan 20, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1611100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1053901363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5190 N 55TH AVE APT 250",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853017543",
            "telephone_number": "763-283-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5190 N 55TH AVE APT 250",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853017543",
            "telephone_number": "763-283-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FASUEKOI",
        "first_name": "YOUNGER",
        "credential": "HHA/LNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-20",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": "AZ",
            "license": "249313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20201227124613",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "N/A",
            "affiliation": "N",
            "endpointDescription": "N/A",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "N/A",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "N/A",
            "address_1": "5190 N 55th Ave Apt 250",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853017543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Damyan Farion
• Michael Vance Farnum
• Daniel Farrell
• Kellie Farrell, LMSW
• Marinah Valenzuela Farrell, CPM, LM
• Marisol Fattori, LPN
• Joyce Marie Faucett, FNP
• Danni J Faulkner, RBT
• Andreea Alexandra Faur
• Freeman Favors III, M.D.

• Nurse's Aide in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Nurse's Aide in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; 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.