Active NPI
Casey Lynn Young, R.D.
- Registered Dietitian
- Escanaba, MI
National Provider Identifier
1093188351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0000000
- Practice address
- 610 S Lincoln Rd
Escanaba, MI 49829-1215 - Phone
- (906) 786-6488
- Fax
- (906) 786-6409
- NPI assigned
- Nov 9, 2015
- Last updated
- Nov 9, 2015
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 0000000 | MI | Primary |
Addresses
Primary practice location
610 S Lincoln Rd
Escanaba, MI 49829-1215
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7222
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0000000 | MI | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447027200000",
"number": "1093188351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7222",
"fax_number": "920-445-7289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 S LINCOLN RD",
"city": "ESCANABA",
"state": "MI",
"postal_code": "498291215",
"telephone_number": "906-786-6488",
"fax_number": "906-786-6409"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CASEY",
"middle_name": "LYNN",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-09",
"last_updated": "2015-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MI",
"license": "0000000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Escanaba, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.