Active NPI
Sandra Young, APRN, FNP-BC
- Family Nurse Practitioner
- Allen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP119312
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8347NK | Other | TX | BLUE CROSS AND BLUE SHIELD OF TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, GA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP119312 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| Texas Digestive Disease Consultants PLLC | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients | |
| City of Hope Medical Group of Arizona LLC | Current | Accepting new patients | |
| City of Hope Medical Group of Georgia LLC | Current | Accepting new patients | |
| Texas Digestive Disease Consultants, PLLC | Current | 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
- 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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
-
- Gastroenterology Physician
- Irving, TX
- NPI 1053397331
-
- Medical Oncology Physician
- Goodyear, AZ
- NPI 1609026806
-
- Internal Medicine Physician
- Newnan, GA
- NPI 1447520333
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
-
- Gastroenterology Physician
- Flower Mound, TX
- NPI 1689650475
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
-
- Physical Medicine & Rehabilitation Physician
- Wylie, TX
- NPI 1215404637
-
- Family Medicine Physician
- Dallas, TX
- NPI 1528011814
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.