Tammy Youngblood, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

54944 Issued in WV

Practice address

247 Harrison Avenue
Morgan County Board of Education
Berkeley Springs, WV 25411

Phone

(304) 267-3595

Fax

(304) 267-3599

NPI assigned

Dec 13, 2016

Sex

Female

Sole proprietor

Yes

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

Credentials

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.

• County of Morgan

  • Local Education Agency (LEA)
  • Berkeley Springs, WV
  • NPI 1518155399
  NPD (past)
• Morgan County Board of Education

  • Local Education Agency (LEA)
  • Berkeley Springs, WV
  • NPI 1306015136
  NPD (past)

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1194269977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 HARRISON AVENUE",
            "address_2": "MORGAN COUNTY BOARD OF EDUCATION",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "25411",
            "telephone_number": "304-267-3595",
            "fax_number": "304-267-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 HARRISON AVENUE",
            "address_2": "MORGAN COUNTY BOARD OF EDUCATION",
            "city": "BERKELEY SPRINGS",
            "state": "WV",
            "postal_code": "25411",
            "telephone_number": "304-267-3595",
            "fax_number": "304-267-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "TAMMY",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "WV",
            "license": "54944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca A Wood
• Elizabeth Yost
• Nancy Yost
• Gloria Jane Young-Kufferath
• Michael Taylor Young
• Jeremy P Zietz

• School Registered Nurse in Berkeley Springs, WV
• Providers in Berkeley Springs, WV by specialty
• School Registered Nurse in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; 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.