Felicia Young, LPN 86360

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

86360 Issued in TN

Practice address

710 N Main St Ste a
Clinton, TN 37716-3143

Phone

(865) 425-8775

Fax

(865) 457-4252

NPI assigned

Nov 4, 2019

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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 and National Provider Directory roles.

• State of Tennessee

  • State or Local Public Health Clinic/Center
  • Clinton, TN
  • NPI 1427102177
  NPD (past)

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1265076103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N MAIN ST",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377163143",
            "telephone_number": "865-425-8800",
            "fax_number": "865-457-4252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 N MAIN ST STE A",
            "city": "CLINTON",
            "state": "TN",
            "postal_code": "377163143",
            "telephone_number": "865-425-8775",
            "fax_number": "865-457-4252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "FELICIA",
        "credential": "LPN 86360",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "TN",
            "license": "86360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ann Wishart, FNP-BC
• Woodland Post Acute LLC
• Samantha Michelle Woods, BSN, RN
• Mollie Katherine Wright, PHARM. D.
• Savannah Wright
• Paromita Yunsan, ANP
• Luis E Zayas-Rodriguez, MD

• Licensed Practical Nurse in Clinton, TN
• Providers in Clinton, TN by specialty
• Licensed Practical Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2019; 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.