Dealice Nikita Young, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

894906 Issued in MS

Practice address

160 Cypress St
Tchula, MS 39169

Phone

(662) 670-4197

NPI assigned

Dec 5, 2011

Last updated

Oct 23, 2017By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heaven Sent Foot Healthcare, PLCC

  • Registered Nurse
  • Tchula, MS
  • NPI 1457842585
  NPD (past) Authorized official

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

{
    "created_epoch": "1323043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1205104387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 572",
            "city": "TCHULA",
            "state": "MS",
            "postal_code": "391690572",
            "telephone_number": "662-670-4197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CYPRESS ST",
            "city": "TCHULA",
            "state": "MS",
            "postal_code": "39169",
            "telephone_number": "662-670-4197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DEALICE",
        "middle_name": "NIKITA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-05",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MS",
            "license": "894906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn Daniel Roberts, RPH
• Thomas Ross
• Candice Smith, LCSW
• The Myers Foundation Christian Family Health Centers
• Thomas Ross (Southwest Rehabilitation Services)

• Community Health Registered Nurse in Tchula, MS
• Providers in Tchula, MS by specialty
• Community Health Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.