Individual provider Active NPI

Whitney Young, FNP

  • Nurse Practitioner
  • Dyersburg, TN
National Provider Identifier
1083184055
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
25123 Issued in TN
Practice address
455 East Parkview
Dyersburg, TN 38024
Phone
(731) 285-2100
NPI assigned
Dec 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 25123 TN Primary

Addresses

Primary practice location

455 East Parkview
Dyersburg, TN 38024

Mailing address

1213 Live Oak St
Dyersburg, TN 38024-1631
Phone (731) 580-0933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190812001758 TN Practitioner - Nurse Practitioner 0840527073 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Tennessee Medical Group IncGroup PAC ID 3971781006, 190 clinicians
WT Medical AssociatesGroup PAC ID 1951650613, 64 clinicians

Practice addresses (Care Compare)

1720 Woodlawn Ave
Dyersburg, TN 38024-1300
Phone (731) 421-6510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as apm
Quality
85.23
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
25123TNMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
WT Medical Associates Nurse Practitioner CurrentSince Jun 10, 2019 Accepting new patients
WT Medical Associates CurrentSince Jun 10, 2019 Accepting new patients

Locations

420 Wilkinson Dr
Fl 2
Dyersburg, TN 38024
Phone (731) 285-5133

1720 Woodlawn Ave
Dyersburg, TN 38024
Phone (731) 285-1393

1720 Woodlawn Ave
Ste 1
Dyersburg, TN 38024
Phone (731) 285-2100

455 E Parkview St
Dyersburg, TN 38024
Phone (731) 285-2100

1804 Highway 45 Byp
Ste 604
Jackson, TN 38305
Phone (731) 512-1273

Interoperability endpoints

  • Direct secure messaging: wyoung17940@directepic.wth.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1543795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543795200000",
    "number": "1083184055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1213 LIVE OAK ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380241631",
            "telephone_number": "731-580-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 EAST PARKVIEW",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "38024",
            "telephone_number": "731-285-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "WHITNEY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-03",
        "last_updated": "2018-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "25123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

Verify at the official NPI Registry.