Individual provider Active NPI

Cheryl Elaine Young, RNC, NNP

  • Critical Care Neonatal Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1124082581
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
A001701 Issued in AR
Practice address
2216 McClendon Dr
Rockwall, TX 75032-7550
Phone
(214) 724-9220
NPI assigned
Apr 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 6170 WI
Critical Care Neonatal Nurse Practitioner 363LN0005X 112006 NE
Critical Care Neonatal Nurse Practitioner 363LN0005X AP110297 TX
Critical Care Neonatal Nurse Practitioner 363LN0005X A001701 AR Primary

Addresses

Primary practice location

2216 McClendon Dr
Rockwall, TX 75032-7550

Mailing address

2216 McClendon Dr
Rockwall, TX 75032-7550
Phone (214) 724-9220

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tmcdirect@direct.central.uhsinc.com Direct

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
A001701ARMDCritical Care Neonatal Nurse Practitioner
112006NEMDCritical Care Neonatal Nurse Practitioner
AP110297TXMDCritical Care Neonatal Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1124082581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2216 MCCLENDON DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327550",
            "telephone_number": "214-724-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2216 MCCLENDON DR",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327550",
            "telephone_number": "214-724-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CHERYL",
        "middle_name": "ELAINE",
        "credential": "RNC, NNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-13",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WI",
            "license": "6170",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "NE",
            "license": "112006",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "TX",
            "license": "AP110297",
            "primary": false
        },
        {
            "code": "363LN0005X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal, Critical Care",
            "state": "AR",
            "license": "A001701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tmcdirect@direct.central.uhsinc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2216 McClendon Dr",
            "city": "Rockwall",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750327550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.