Susan Young

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

L-074198-7 Issued in MN

Practice address

1593 Hewitt Ave
Saint Paul, MN 55104-1221

Phone

(651) 228-3952

NPI assigned

Oct 27, 2014

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1414368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1154726693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2060 CENTRE POINTE BLVD",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551201269",
            "telephone_number": "651-774-0011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1593 HEWITT AVE",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551041221",
            "telephone_number": "651-228-3952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-27",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "L-074198-7",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer L Young, OTR
• Madeline Young, R.D, L.D.
• Martyja Young
• Richard J Young, PH.D.
• Samuel Douglas Young
• Eric Philip Youngner, D.D.S.
• Alyssa Jayne Youngquist, LICSW
• Mary Elizabeth Youngquist, PH.D. L.P.
• Rebecca Ann Younk, AU.D.
• Your Path, LLC

• Licensed Practical Nurse in Saint Paul, MN
• Providers in Saint Paul, MN by specialty
• Licensed Practical Nurse in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.