Mialara Rose Young, LMT, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

2023-06 Issued in ND

Practice address

1121 Westrac Dr S
Fargo, ND 58103-8716

Phone

(701) 297-8191

NPI assigned

Aug 8, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Birchwood Integrative Care Clinic, PLLC

  • Acupuncturist
  • Eagan, MN
  • NPI 1932899531
  NPD

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1063140101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1121 WESTRAC DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038716",
            "telephone_number": "701-297-8191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 WESTRAC DR S",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581038716",
            "telephone_number": "701-297-8191"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4590 Scott Trl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Eagan",
            "state": "MN",
            "postal_code": "551224041",
            "country_code": "US",
            "telephone_number": "651-444-8869",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1121 Westrac Dr S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581038716",
            "country_code": "US",
            "telephone_number": "701-297-8191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MIALARA",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "LMT, L.AC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "MN",
            "license": "2007",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ND",
            "license": "2023-06",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fatme Younes, PHARMD
• Jamie Marie Young-Schneider, LPN
• Jenna Rae Young, PHARMD
• Makinzey Catherine Young
• Maryn Lynna Young, FNP-BC, PMHNP-BC
• Michaeline Cooper Youngkendeh
• Amy L. Youngquist, M.S. CCC-SLP
• Lorene Yoxtheimer, M.D.
• Sharleen Yuan, MA, PHD, MD
• Brandon Yurczyk, DNP, CRNA

• Acupuncturist in Fargo, ND
• Providers in Fargo, ND by specialty
• Acupuncturist in North Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.