Young Community Medical Care PLLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

YOUNG COMMUNITY MEDICAL CARE PLLC

Doing business as

Young Community Medical Care

Practice address

2200 Greene Way
Louisville, KY 40220-4026

Phone

(502) 644-4068

Fax

(888) 772-4611

NPI assigned

Dec 11, 2024

Organization subpart

No

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

Authorized official

Name

Jacque Young, NPNPI 1639315443

Title

Owner

Phone

(502) 644-4068

Specialties & licenses 1

Addresses

Other names 1

• Young Community Medical Care Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacque D Young, ARNP

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1639315443
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733875200000",
    "number": "1164239471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 GREENE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204026",
            "telephone_number": "502-644-4068",
            "fax_number": "888-772-4611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 GREENE WAY",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402204026",
            "telephone_number": "502-644-4068",
            "fax_number": "888-772-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG COMMUNITY MEDICAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-11",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "502-644-4068",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Young Community Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tina Yost
• You Only Live Once Medical
• Bradley Ben Youkilis, MD
• Young & Young Dental
• Young City Medical Care
• Robert A Young Jr, DMD
• Young-Rivers Associates, P.S.C.
• Adam Lee Young, OTR/L MS
• Bailey Walker Young, DO
• Barbara Jean Young

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.