Individual provider Active NPI

Kay B. Young, AU.D.

  • Audiologist
  • Shelby, NC
National Provider Identifier
1194787317
Registry record updated Nov 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
1309 Issued in NC
Practice address
1403 N Lafayette St
Shelby, NC 28150-3406
Phone
(704) 482-1447
Fax
(704) 481-9744
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 1309 NC Primary

Addresses

Primary practice location

1403 N Lafayette St
Shelby, NC 28150-3406

Mailing address

1403 N Lafayette St
Shelby, NC 28150-3406
Phone (704) 482-1447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080717000521 NC Practitioner - Qualified Audiologist 0547333924 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1309NCMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cabrera & Cabrera LLC Audiologist CurrentSince Nov 25, 2024 Accepting new patients
Hearing and Balance Center, LLC Audiologist PastSince Aug 10, 2021 Accepting new patients
Stasis LLC Audiologist Past Accepting new patients

Locations

8037 Corporate Center Dr
Ste 100
Charlotte, NC 28226
Phone (704) 542-3339

1403 N Lafayette St
Shelby, NC 28150
Phone (704) 482-1447

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701302400000",
    "number": "1194787317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 N LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503406",
            "telephone_number": "704-482-1447",
            "fax_number": "704-481-9744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 N LAFAYETTE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503406",
            "telephone_number": "704-482-1447",
            "fax_number": "704-481-9744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KAY",
        "middle_name": "B.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2023-11-30",
        "certification_date": "2023-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NC",
            "license": "1309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.