Individual provider Active NPI

Joy Ann Young, RD/LD

  • Registered Dietitian
  • Pflugerville, TX
National Provider Identifier
1063798775
Registry record updated Oct 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
676183 Issued in IL
Practice address
16908 Simsbrook Dr
Pflugerville, TX 78660-2210
Phone
(512) 466-9928
Fax
(512) 438-2729
NPI assigned
Oct 26, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 676183 IL Primary
Registered Dietitian 133V00000X DT03932 TX

Addresses

Primary practice location

16908 Simsbrook Dr
Pflugerville, TX 78660-2210

Mailing address

16908 Simsbrook Dr
Pflugerville, TX 78660-2210
Phone (512) 466-9928

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
676183ILMDRegistered Dietitian
DT03932TXMDRegistered Dietitian

NPI Registry JSON

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

{
    "created_epoch": "1319587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319587200000",
    "number": "1063798775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16908 SIMSBROOK DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602210",
            "telephone_number": "512-466-9928",
            "fax_number": "512-438-2729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16908 SIMSBROOK DR",
            "city": "PFLUGERVILLE",
            "state": "TX",
            "postal_code": "786602210",
            "telephone_number": "512-466-9928",
            "fax_number": "512-438-2729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOY",
        "middle_name": "ANN",
        "name_prefix": "Miss",
        "credential": "RD/LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-26",
        "last_updated": "2011-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "IL",
            "license": "676183",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT03932",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pflugerville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; 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.