Individual provider Active NPI

Sandra Young, APRN, FNP-BC

  • Family Nurse Practitioner
  • Allen, TX
National Provider Identifier
1093022857
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP119312 Issued in TX
Practice address
981 State Highway 121 Ste 1140
Allen, TX 75013-6148
Phone
(469) 697-5100
Fax
(469) 697-5105
NPI assigned
Aug 31, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP119312 TX Primary

Addresses

Primary practice location

981 State Highway 121 Ste 1140
Allen, TX 75013-6148

Mailing address

1411 N Beckley Ave
Pav III Ste#268
Dallas, TX 75203-1259
Phone (214) 947-4400

Other identifiers 1

IdentifierTypeStateIssuer
8347NKOtherTXBLUE CROSS AND BLUE SHIELD OF TEXAS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110310000468 TX Practitioner - Nurse Practitioner 7517149685 Reassigns benefits to 2 organizations
I20210820001203 GA Practitioner - Nurse Practitioner 7517149685 Reassigns benefits to 1 organization
I20210930002745 AZ Practitioner - Nurse Practitioner 7517149685 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP119312TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Current Accepting new patients
Medhealth CurrentSince Jan 1, 2016 Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince Nov 1, 2021 Accepting new patients
Medhealth CurrentSince Jan 1, 2016 Accepting new patients
City of Hope Medical Group of Arizona LLC CurrentSince Sep 15, 2021 Accepting new patients
City of Hope Medical Group of Georgia LLC CurrentSince Jun 7, 2021 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Nov 1, 2021 Accepting new patients
Physicians and Allied Health Professionals Group, PA Past Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

6897 Paysphere Cir
Chicago, IL 60674
Phone (480) 586-7542

62742 Collections Ctr Dr
Chicago, IL 60693

981 State Highway 121
Ste 1140
Allen, TX 75013
Phone (469) 697-5100

1411 N Beckley Ave
Ste 2
Dallas, TX 75203

1411 N Beckley Ave
Ste 268
Dallas, TX 75203

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

341 Wheatfield Dr
Ste 100
Sunnyvale, TX 75182
Phone (972) 329-1996

5791 New Copeland Rd
Tyler, TX 75703
Phone (903) 339-3035

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: syoung304639@direct.phhs.org

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1283212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1093022857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 N BECKLEY AVE",
            "address_2": "PAV III STE#268",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752031259",
            "telephone_number": "214-947-4400",
            "fax_number": "214-947-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 STATE HIGHWAY 121 STE 1140",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136148",
            "telephone_number": "469-697-5100",
            "fax_number": "469-697-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SANDRA",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-31",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP119312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF TEXAS",
            "identifier": "8347NK",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.