Individual provider Active NPI

Krystal Tiffany Young

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1184419921
Registry record updated Jun 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11038852 Issued in FL
Practice address
3914 E State Road 64
Bradenton, FL 34208-9059
Phone
(941) 216-3800
Fax
(941) 216-3703
NPI assigned
Apr 11, 2025
Last updated
Jun 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11038852 FL Primary

Addresses

Primary practice location

3914 E State Road 64
Bradenton, FL 34208-9059

Mailing address

3914 E State Road 64
Bradenton, FL 34208-9059
Phone (941) 216-3800

Other practice location 1

8450 Lockwood Ridge Rd
Sarasota, FL 34243-2920
Phone (941) 216-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250616001084 FL Practitioner - Nurse Practitioner 2365953569 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians
Coastal Senior Healthcare IncGroup PAC ID 3678840600, 7 clinicians

Practice addresses (Care Compare)

100 Base Ave E
Venice, FL 34285-3809
Phone (941) 412-4748

1300 59TH St W
Bradenton, FL 34209-4603
Phone (941) 216-1455

1414 69TH Ave W
Bradenton, FL 34207-5850
Phone (941) 867-9500

1600 Ctr Rd
Apt 227
Venice, FL 34292-3845
Phone (800) 699-9395

1725 Manatee Ave W
Bradenton, FL 34205-5924
Phone (941) 746-5226

2250 Indian Creek Blvd W
Indian River Estates
Vero Beach, FL 32966-1331
Phone (855) 831-9905

2614 43Rd St W
Bradenton, FL 34209-6212
Phone (941) 357-2582

2630 University Pkwy
Sarasota, FL 34243-2406
Phone (941) 541-2101

2800 60TH Ave W
Bradenton, FL 34207-4324
Phone (941) 752-1990

3221 Fruitville Rd
Sarasota, FL 34237-6452
Phone (941) 269-2849

3409 26TH St W
Bradenton, FL 34205-3600
Phone (941) 882-0921

3503 14TH St W
Bradenton, FL 34205-6290
Phone (941) 201-6055

3749 Sarasota Square Blvd
Sarasota, FL 34238-4595
Phone (941) 732-1833

3914 E State Rd
Suite 64
Bradenton, FL 34208-9059
Phone (941) 216-3800

4100 University Pkwy
Sarasota, FL 34243-5832
Phone (941) 259-8971

450 67TH St W
Bradenton, FL 34209-2380
Phone (941) 794-5657

5612 26TH St W
Bradenton, FL 34207-3515
Phone (941) 381-8307

5650 Gantt Rd
Sarasota, FL 34233-3237
Phone (941) 413-7997

5750 Honore Ave
Sarasota, FL 34233-3249
Phone (941) 210-0988

6101 Pointe W Blvd
Bradenton, FL 34209-5534
Phone (941) 795-5533

655 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 224-3850

7610 Prospect Rd
Sarasota, FL 34243-3799
Phone (941) 657-9097

785 S 2ND St
Chautauqua Rehab and Nursing Ctr
Defuniak Springs, FL 32435-4903

8220 Natures Way
Lakewood Ranch, FL 34202-4204
Phone (941) 278-4330

8230 Natures Way
Lakewood Ranch, FL 34202-4204
Phone (941) 907-9177

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11038852FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of Florida - Jacksonville II LLC CurrentSince Jun 22, 2025 Accepting new patients
Coastal Senior Healthcare Inc CurrentSince Jun 1, 2025 Accepting new patients

Locations

3914 E State Road 64
Bradenton, FL 34208
Phone (860) 250-4522

785 S 2nd St
Defuniak Springs, FL 32435
Phone (850) 892-2176

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

8450 Lockwood Ridge Rd
Sarasota, FL 34243
Phone (941) 216-3800

2250 Indian Creek Blvd W
Vero Beach, FL 32966
Phone (772) 562-7400

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16119/brand/1/csg/1/fhir/r4
  • Direct secure messaging: krystal.young.1@16119.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1744329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1184419921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3914 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089059",
            "telephone_number": "941-216-3800",
            "fax_number": "941-216-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3914 E STATE ROAD 64",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089059",
            "telephone_number": "941-216-3800",
            "fax_number": "941-216-3703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8450 Lockwood Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342432920",
            "country_code": "US",
            "telephone_number": "941-216-3800",
            "fax_number": "941-216-3703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KRYSTAL",
        "middle_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-11",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11038852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.