Individual provider Active NPI

Jillian Young

  • Lay Midwife
  • Las Vegas, NV
National Provider Identifier
1245866292
Registry record updated Mar 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lay MidwifeTaxonomy code 175M00000X
Practice address
6290 S Pecos Rd Ste 400
Las Vegas, NV 89120-3225
Phone
(702) 478-5080
NPI assigned
Mar 20, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Lay Midwife 175M00000X Primary

Addresses

Primary practice location

6290 S Pecos Rd Ste 400
Las Vegas, NV 89120-3225

Mailing address

7950 W Flamingo Rd Unit 1057
Las Vegas, NV 89147-4239
Phone (702) 409-4311

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://www.facebook.com/jyounglvdoula

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

NPI Registry JSON

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

{
    "created_epoch": "1584662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584662400000",
    "number": "1245866292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7950 W FLAMINGO RD UNIT 1057",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891474239",
            "telephone_number": "702-409-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 S PECOS RD STE 400",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203225",
            "telephone_number": "702-478-5080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JILLIAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-20",
        "last_updated": "2020-03-20",
        "certification_date": "2020-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175M00000X",
            "taxonomy_group": "",
            "desc": "Midwife, Lay",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://www.facebook.com/jyounglvdoula",
            "affiliation": "N",
            "address_1": "6290 S Pecos Rd Ste 400",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891203225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2020; 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.