Active NPI
John Patrick Young, MA.,CCC-A
- Audiologist
- Seattle, WA
National Provider Identifier
1114189537
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- LD00004418
- Practice address
- 9714 3Rd Ave NE
Suite 100
Seattle, WA 98115-2044 - Phone
- (206) 523-5584
- Fax
- (206) 523-5882
- NPI assigned
- Jun 26, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Audiologist | 231H00000X | LD00004418 | WA | Primary |
Addresses
Primary practice location
9714 3Rd Ave NE
Suite 100
Seattle, WA 98115-2044
Mailing address
PO Box 59325
Renton, WA 98058-2325
Phone (425) 204-6958
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
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214438400000",
"number": "1114189537",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 59325",
"city": "RENTON",
"state": "WA",
"postal_code": "980582325",
"telephone_number": "425-204-6958",
"fax_number": "206-523-5882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9714 3RD AVE NE",
"address_2": "SUITE 100",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981152044",
"telephone_number": "206-523-5584",
"fax_number": "206-523-5882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JOHN",
"middle_name": "PATRICK",
"name_prefix": "Mr.",
"credential": "MA.,CCC-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-26",
"last_updated": "2008-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "WA",
"license": "LD00004418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.