Lesa Ann Young, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN.227860 Issued in OH

Practice address

580 Calumet LN
Dayton, OH 45417-8014

Phone

(937) 457-2753

NPI assigned

Mar 7, 2018

Last updated

Mar 7, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Lesa Ann Waesch Young Professional name

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.

• Montgomery County Board of Developmental Disabilities

  • Community/Behavioral Health Agency
  • Dayton, OH
  • NPI 1417311473
  NPD (past)

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

{
    "created_epoch": "1520380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520380800000",
    "number": "1245732163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 EDNA AVE",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453242316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 CALUMET LN",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454178014",
            "telephone_number": "937-457-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LESA",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-07",
        "last_updated": "2018-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.227860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LESA",
            "last_name": "WAESCH YOUNG",
            "middle_name": "ANN",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Emily Young
• Jana Young, LPCC
• Kedarea Janae Young
• Kimberly Wade Young, APRN, FNP-C
• Laveda Young
• Linda L Young, NP
• Malik Young, CDCA
• Randy Young, LICDC
• Rashawnda Young
• Sara Young, PT

• Registered Nurse in Dayton, OH
• Providers in Dayton, OH by specialty
• Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.