Individual provider Active NPI

Ebony Erin Young

  • Family Nurse Practitioner
  • Shavano Park, TX
National Provider Identifier
1194609297
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1029062 Issued in TX
Practice address
3208 Napier Park Ste 1
Shavano Park, TX 78231-1522
Phone
(210) 405-3410
Fax
(210) 405-3411
NPI assigned
Aug 1, 2025
Last updated
Aug 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1029062 TX Primary
Registered Nurse 163W00000X 1029062 TX

Addresses

Primary practice location

3208 Napier Park Ste 1
Shavano Park, TX 78231-1522

Mailing address

6674 Prue Rd Apt 10208
San Antonio, TX 78240-2822
Phone (210) 758-8179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20251009004149 TX Practitioner - Nurse Practitioner 8628575040 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Muhammad Naeem, M.D., P.aGroup PAC ID 3375783772, 3 clinicians
Kesar Family PLLCGroup PAC ID 8527392976, 3 clinicians

Practice addresses (Care Compare)

3208 Napier Park
Suite 1
Shavano Park, TX 78231-1522
Phone (210) 509-8888

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1029062TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Kesar Family PLLC Family CurrentSince Sep 1, 2025 Accepting new patients
Muhammad Naeem, M.D., P.a CurrentSince Feb 1, 2026 Accepting new patients

Locations

11212 State Highway 151
Ste 270
San Antonio, TX 78251
Phone (210) 268-0156

3303 Rogers Rd
Ste 250
San Antonio, TX 78251
Phone (210) 405-3410

5510 Presidio Pkwy
Bldg B
San Antonio, TX 78249
Phone (210) 874-3640

3208 Napier Park
Ste 1
Shavano Park, TX 78231
Phone (210) 405-3410

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GAHHBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GAHHBD/Endpoint/GAHHBD

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.

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1194609297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6674 PRUE RD APT 10208",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782402822",
            "telephone_number": "210-758-8179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3208 NAPIER PARK STE 1",
            "city": "SHAVANO PARK",
            "state": "TX",
            "postal_code": "782311522",
            "telephone_number": "210-405-3410",
            "fax_number": "210-405-3411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "EBONY",
        "middle_name": "ERIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1029062",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1029062",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shavano Park, TX

Sources for this page

Verify at the official NPI Registry.