Individual provider Active NPI

Donna Young

  • Speech-Language Pathologist
  • Urbanna, VA
National Provider Identifier
1245647502
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202008771 Issued in VA
Practice address
5372B Old Virginia St
Urbanna, VA 23175-2179
Phone
(804) 758-5250
NPI assigned
Jul 18, 2014
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202008771 VA Primary

Addresses

Primary practice location

5372B Old Virginia St
Urbanna, VA 23175-2179

Mailing address

872 General Puller Hwy
#101
Saluda, VA 23149
Phone (804) 758-9398

Other practice location 1

3980 Baldwins Mill Ct
High Point, NC 27265-9703
Phone (336) 307-2976

Other practice location 2

3980 Baldwins Mill Ct
High Point, NC 27265-9703
Phone (336) 307-2976

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2202008771VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1245647502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "872 GENERAL PULLER HWY",
            "address_2": "#101",
            "city": "SALUDA",
            "state": "VA",
            "postal_code": "23149",
            "telephone_number": "804-758-9398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5372B OLD VIRGINIA ST",
            "city": "URBANNA",
            "state": "VA",
            "postal_code": "231752179",
            "telephone_number": "804-758-5250"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3980 Baldwins Mill Ct",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272659703",
            "country_code": "US",
            "telephone_number": "336-307-2976",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3980 Baldwins Mill Ct",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272659703",
            "country_code": "US",
            "telephone_number": "336-307-2976",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202008771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbanna, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.