Diane Young, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5303618-4405 Issued in UT

Practice address

3018 E 3300 S
Salt Lake City, UT 84109-2144

Phone

(801) 815-2967

Fax

(385) 275-7698

NPI assigned

Nov 25, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1416873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557792000000",
    "number": "1194122788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 W 12600 S STE 102",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657080",
            "telephone_number": "801-254-4600",
            "fax_number": "801-254-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 E 3300 S",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841092144",
            "telephone_number": "801-815-2967",
            "fax_number": "385-275-7698"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6770 S 900 E Ste 100",
            "address_purpose": "LOCATION",
            "city": "Midvale",
            "state": "UT",
            "postal_code": "840471761",
            "country_code": "US",
            "telephone_number": "801-590-9255",
            "fax_number": "801-523-8242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DIANE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-25",
        "last_updated": "2019-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SF0001X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Family Health",
            "state": "UT",
            "license": "53036184405",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "5303618-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Young
• Christopher Grover Young, PHARM.D.
• Daniel Young, APRN
• David Chikao Young, PHARM.D.
• David Vernon Young, D.D.S., M.D.S.
• Donilee Young, CMHC
• Eliza Young
• Elizabeth Dawn Young, MS
• Elizabeth Wolcott Young, PHARM.D., BCPS
• Erin Young

• Family Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Family Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2019; 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.