Carrie Jean Young, RN, CNM, APRN

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

CNM387 Issued in MN

Practice address

1100 Bergslien St
Baldwin, WI 54002-2600

Phone

(715) 684-1111

Fax

(715) 684-1119

NPI assigned

Jul 9, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Carrie Jean Young Breadon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Registered Nurse

State licenses

Practice roles

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.

• Evensong Women'S Health and Midwifery, LLC

  • Advanced Practice Midwife
  • Stillwater, MN
  • NPI 1457012973
  NPD Authorized official

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

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1154550259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 SAINT CROIX HTS",
            "city": "HUDSON",
            "state": "WI",
            "postal_code": "540161409",
            "telephone_number": "949-395-7336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 BERGSLIEN ST",
            "city": "BALDWIN",
            "state": "WI",
            "postal_code": "540022600",
            "telephone_number": "715-684-1111",
            "fax_number": "715-684-1119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2606 Chicago Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554073706",
            "country_code": "US",
            "telephone_number": "612-545-5311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1017 7th St S",
            "address_purpose": "LOCATION",
            "city": "Stillwater",
            "state": "MN",
            "postal_code": "550825703",
            "country_code": "US",
            "telephone_number": "949-395-7336",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "968 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551053014",
            "country_code": "US",
            "telephone_number": "651-895-2520",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 S Tustin St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928663425",
            "country_code": "US",
            "telephone_number": "714-633-4550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "624 Smith Ave S",
            "address_purpose": "LOCATION",
            "city": "Saint Paul",
            "state": "MN",
            "postal_code": "551072620",
            "country_code": "US",
            "telephone_number": "651-689-3988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CARRIE",
        "middle_name": "JEAN",
        "credential": "RN, CNM, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-09",
        "last_updated": "2022-01-11",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN862548",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MN",
            "license": "387",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MN",
            "license": "CNM387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "BREADON",
            "middle_name": "JEAN YOUNG",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephanie Waterman, APRN, FNP-C
• Alison Weix
• David Paul Willink, PHARMD
• Willowbrook Clinical Services LLC
• Lindsey Wosepka, OTR
• Jerry D Youngman, LPC

• Advanced Practice Midwife in Baldwin, WI
• Providers in Baldwin, WI by specialty
• Advanced Practice Midwife in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.