Individual provider Active NPI

Valerie Mary Young, PHD, RD, LD

  • Registered Dietitian
  • Montgomery, OH
National Provider Identifier
1144699117
Registry record updated May 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD.5802 Issued in OH
Practice address
10700 Montgomery Rd Ste 224
Montgomery, OH 45242-3260
Phone
(513) 991-7117
Fax
(513) 991-7117
NPI assigned
Sep 21, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X LD.5802 OH Primary

Addresses

Primary practice location

10700 Montgomery Rd Ste 224
Montgomery, OH 45242-3260

Mailing address

10700 Montgomery Rd Ste 224
Montgomery, OH 45242-3260
Phone (513) 991-7117

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LD.5802OHMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Life Worth Living, LTD 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.

NPI Registry JSON

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

{
    "created_epoch": "1442793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685232000000",
    "number": "1144699117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10700 MONTGOMERY RD STE 224",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452423260",
            "telephone_number": "513-991-7117",
            "fax_number": "513-257-2409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10700 MONTGOMERY RD STE 224",
            "city": "MONTGOMERY",
            "state": "OH",
            "postal_code": "452423260",
            "telephone_number": "513-991-7117",
            "fax_number": "513-991-7117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "VALERIE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "PHD, RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-21",
        "last_updated": "2023-05-28",
        "certification_date": "2023-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OH",
            "license": "LD.5802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2023; 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.