Active NPI
Connie Lynn Young
- Hospitalist Physician
- McKinney, TX
National Provider Identifier
1104905389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- M5986
- Practice address
- 4500 Medical Center Dr
McKinney, TX 75069-1650 - Phone
- (972) 547-8000
- NPI assigned
- Nov 6, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A97447 | CA | |
| Hospitalist Physician | 208M00000X | M5986 | TX | Primary |
Addresses
Primary practice location
4500 Medical Center Dr
McKinney, TX 75069-1650
Mailing address
12221 Merit Dr
Suite 1610
Dallas, TX 75251-2202
Phone (214) 217-1911
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A97447 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Questcare Hospitalists PLLC | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1265441620
Internal Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184284800000",
"number": "1104905389",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12221 MERIT DR",
"address_2": "SUITE 1610",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512202",
"telephone_number": "214-217-1911",
"fax_number": "214-217-1912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 MEDICAL CENTER DR",
"city": "MCKINNEY",
"state": "TX",
"postal_code": "750691650",
"telephone_number": "972-547-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CONNIE",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-06",
"last_updated": "2007-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A97447",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "TX",
"license": "M5986",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.