Individual provider Active NPI

Thomas Isaac Young, FNP-BC, APRN

  • Family Nurse Practitioner
  • Elizabethton, TN
National Provider Identifier
1225365406
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14443 Issued in TN
Practice address
1500 W Elk Ave
Elizabethton, TN 37643-2654
Phone
(423) 543-2584
Fax
(423) 722-2060
NPI assigned
Nov 10, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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 0024171677 VA
Family Nurse Practitioner 363LF0000X 14443 TN Primary

Addresses

Primary practice location

1500 W Elk Ave
Elizabethton, TN 37643-2654

Mailing address

1500 W Elk Ave
Elizabethton, TN 37643-2654
Phone (423) 543-2584

Other identifiers 1

IdentifierTypeStateIssuer
1225365406OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20100107000218 TN Practitioner - Nurse Practitioner 5193866572 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergic Diseases Asthma and Immunology Clinic PCGroup PAC ID 7416950704, 5 clinicians

Practice addresses (Care Compare)

7417 Kingston Pike
Suite 101
Knoxville, TN 37919-5616
Phone (865) 584-4112

Merit-based Incentive Payment System (MIPS)

Final score
96.58 of 100Reported as apm
Quality
83.17
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14443TNMDFamily Nurse Practitioner
0024171677VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allergic Diseases Asthma & Immunology Clinic PC CurrentSince Nov 15, 2024 Accepting new patients
App of Tennessee Ed, PLLC CurrentSince Jun 7, 2023 Accepting new patients
Medical Care PLLC CurrentSince Feb 12, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 9, 2022 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Mar 9, 2022 Accepting new patients
Emergency Care Physicians, Inc. Past Accepting new patients
Southeastern Emergency Services of Memphis, P.C. Past Accepting new patients
Mount Desert Island Hospital Past Accepting new patients

Locations

321 Midway Medical Park
Ste 3
Bristol, TN 37620
Phone (423) 968-3440

1116 Highway 11 W
Church Hill, TN 37642
Phone (423) 226-5109

1406 Tusculum Blvd
Ste 2500
Greeneville, TN 37745
Phone (423) 638-9595

401 E Main St
Johnson City, TN 37601
Phone (423) 722-2062

403 Princeton Rd
Ste 4
Johnson City, TN 37601
Phone (423) 928-0113

2012 Brookside Dr
Ste 11
Kingsport, TN 37660
Phone (423) 378-3131

2000 Brookside Dr
Kingsport, TN 37660
Phone (423) 857-7144

7417 Kingston Pike
Ste 101
Knoxville, TN 37919
Phone (865) 584-4112

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

Interoperability endpoints

  • Direct secure messaging: thomas.young.1@11166.direct.athenahealth.com
  • Direct secure messaging: thomas.young.1@22384.direct.athenahealth.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/b5eba017-85d4-4b6c-a2f0-9b2c7b0c38dd/

Organizations & group practices 8

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": "1257811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1225365406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 W ELK AVE",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432654",
            "telephone_number": "423-543-2584",
            "fax_number": "423-722-2060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 W ELK AVE",
            "city": "ELIZABETHTON",
            "state": "TN",
            "postal_code": "376432654",
            "telephone_number": "423-543-2584",
            "fax_number": "423-722-2060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "THOMAS",
        "middle_name": "ISAAC",
        "credential": "FNP-BC, APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-11-10",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024171677",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1225365406",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethton, TN

Sources for this page

Verify at the official NPI Registry.