Active NPI
Thomas Isaac Young, FNP-BC, APRN
- Family Nurse Practitioner
- Elizabethton, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 14443
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225365406 | Other | NPI |
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
Enrollment records 1
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
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 100
- Quality
- 83.17
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14443 | TN | MD | Family Nurse Practitioner |
| 0024171677 | VA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allergic Diseases Asthma & Immunology Clinic PC | Current | Accepting new patients | |
| App of Tennessee Ed, PLLC | Current | Accepting new patients | |
| Medical Care PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | Accepting new patients | |
| Fast Pace Medical Clinic PLLC | Current | 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
- thomas.young.1@11166.direct.athenahealth.com
- thomas.young.1@22384.direct.athenahealth.com
- 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.
-
- Allergy Physician
- Knoxville, TN
- NPI 1205879400
-
- Emergency Medicine Physician
- Maryville, TN
- NPI 1003230236
-
- Family Medicine Physician
- Spring Hill, TN
- NPI 1134452865
-
- Family Medicine Physician
- Elizabethton, TN
- NPI 1851537260
-
- Rural Health Clinic/Center
- Chapel Hill, TN
- NPI 1316602774
-
- Emergency Medicine Physician
- Johnson City, TN
- NPI 1669410304
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1164454450
-
- Dental Clinic/Center
- Southwest Harbor, ME
- NPI 1235553413
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.