Individual provider Active NPI

Melissa K Young-Flynn, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1235749581
Registry record updated Oct 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
3014944 Issued in KY
Practice address
3270 Blazer Pkwy Ste 102
Lexington, KY 40509-2115
Phone
(859) 785-1030
NPI assigned
Aug 2, 2020
Last updated
Oct 16, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 3014944 KY Primary

Addresses

Primary practice location

3270 Blazer Pkwy Ste 102
Lexington, KY 40509-2115

Mailing address

1680 Cressy Rd
Irvine, KY 40336-9058
Phone (859) 749-8768

Other practice location 1

721 River Dr
Irvine, KY 40336-1255
Phone (859) 749-8768

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20221116001290 KY Practitioner - Nurse Practitioner 2466857917 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3014944KYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartoria Health Services LLC CurrentSince May 1, 2023 Accepting new patients
Estill Behavioral Health, PLLC CurrentSince Oct 22, 2023 Accepting new patients
The Trauma-Informed Counseling Center LLC PastSince Aug 1, 2020 Accepting new patients
Optimal Living Services, LLC PastSince Oct 22, 2023 Accepting new patients

Locations

721 River Dr
Irvine, KY 40336
Phone (859) 749-8768

3161 Custer Dr
Ste 3
Lexington, KY 40517
Phone (859) 368-0434

Organizations & group practices 4

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": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1235749581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 CRESSY RD",
            "city": "IRVINE",
            "state": "KY",
            "postal_code": "403369058",
            "telephone_number": "859-749-8768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3270 BLAZER PKWY STE 102",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405092115",
            "telephone_number": "859-785-1030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "721 River Dr",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "KY",
            "postal_code": "403361255",
            "country_code": "US",
            "telephone_number": "859-749-8768",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG-FLYNN",
        "first_name": "MELISSA",
        "middle_name": "K",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-02",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KY",
            "license": "3014944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.