Individual provider Active NPI

Jessica Youngs, L.AC.

  • Acupuncturist
  • Sandpoint, ID
National Provider Identifier
1073161915
Registry record updated Sep 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
ACU-371 Issued in ID
Practice address
307 Church St
Sandpoint, ID 83864-1344
Phone
(330) 618-8273
NPI assigned
Sep 3, 2019
Last updated
Sep 3, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X ACU-371 ID Primary

Addresses

Primary practice location

307 Church St
Sandpoint, ID 83864-1344

Mailing address

307 Church St
Sandpoint, ID 83864-1344
Phone (330) 618-8273

Other identifiers 1

IdentifierTypeStateIssuer
ACU-371OtherIDACUPUNCTURE LICENSE

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
ACU-371IDMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Embodied Virtue Acupuncturist CurrentSince Sep 8, 2019 Accepting new patients
The Rewilding Practice LLC Acupuncturist PastSince Aug 25, 2025 Accepting new patients
Heart Spring Health LLC Acupuncturist PastSince Feb 9, 2025 Accepting new patients

Locations

307 Church St
Sandpoint, ID 83864
Phone (208) 254-1188

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567468800000",
    "number": "1073161915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 CHURCH ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641344",
            "telephone_number": "330-618-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 CHURCH ST",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641344",
            "telephone_number": "330-618-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGS",
        "first_name": "JESSICA",
        "credential": "L.AC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2019-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ID",
            "license": "ACU-371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ACUPUNCTURE LICENSE",
            "identifier": "ACU-371",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandpoint, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; 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.