Stacey Michelle Youngblood, APRN-CNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1011393 Issued in TX

Practice address

1229 Old Ewing Rd
Lufkin, TX 75901-0729

Phone

(936) 240-9726

NPI assigned

Aug 31, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Texas Quick Care LLCGroup PAC ID 0749585396, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Reliant at Home Home health agency, Lufkin, TX, CCN 747328
• Nacogdoches Memorial Hospital Hospital, Nacogdoches, TX, CCN 450508
• CHI St Lukes Health Memorial Lufkin Hospital, Lufkin, TX, CCN 450211

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stacey.youngblood.1@13578.direct.athenahealth.com

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.

• Texas Quick Care, LLC

  • Family Medicine Physician
  • Timpson, TX
  • NPI 1730570581
  Medicare reassignment Care Compare group NPD
• TMC Provider Group PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1053784660
  Medicare reassignment Care Compare group NPD
• Texas Quick Care, LLC

  • Rural Health Clinic/Center
  • Etoile, TX
  • NPI 1295433944
  NPD
• TMC Provider Group PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1033968789
  NPD
• TMC Provider Group PLLC

  • Urgent Care Clinic/Center
  • San Antonio, TX
  • NPI 1730553025
  NPD
• TMC Provider Group, PLLC

  • Urgent Care Clinic/Center
  • Port Arthur, TX
  • NPI 1669181681
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Agape Home Care Services LLC

  • Home Health Agency
  • Lufkin, TX
  • NPI 1043450125
  Care Compare affiliation
• Memorial Health System of East Texas

  • Rural Acute Care Hospital
  • Lufkin, TX
  • NPI 1396746129
  Care Compare affiliation
• Nacogdoches County Hospital District

  • Rural Acute Care Hospital
  • Nacogdoches, TX
  • NPI 1801831748
  Care Compare affiliation

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598832000000",
    "number": "1114531902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 OLD EWING RD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759010729",
            "telephone_number": "936-240-9726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 OLD EWING RD",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759010729",
            "telephone_number": "936-240-9726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "STACEY",
        "middle_name": "MICHELLE",
        "name_prefix": "Mrs.",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-08-31",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1011393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly L Yarborough, PHARMD
• Scott Alexander Yarborough, PHARMD
• Bianca Yarbrough, FNP
• Sravya Yarlagadda
• Ashton Brianne York, MS, CCC-SLP
• Arshad Muhammad Yousuf, M.D.
• Syed Javeed Zaheer, MD
• Wali Haider Zaidi, M.D.
• Anthony J. Zollo, MD

• Family Nurse Practitioner in Lufkin, TX
• Providers in Lufkin, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.