Individual provider Active NPI

Caitlin Marie Young, CNM, MSN

  • Midwife
  • St. Paul, MN
National Provider Identifier
1265718142
Registry record updated Aug 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
MidwifeTaxonomy code 176B00000X
License
CNM Issued in MN
Practice address
968 Grand Ave.
St. Paul, MN 55105
Phone
(651) 895-2520
NPI assigned
Oct 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X CNM-170014 CO
Midwife 176B00000X CNM MN Primary

Addresses

Primary practice location

968 Grand Ave.
St. Paul, MN 55105

Mailing address

7724 North Street
St. Louis Park, MN 55426
Phone (720) 273-8502

Other names 1

  • Caitlin Marie Wait Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
CNM-170014COMDMidwife

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Minnesota, North Dakota, South Dakota CurrentSince Dec 6, 2015 Accepting new patients

Locations

671 Vandalia St
Saint Paul, MN 55114
Phone (651) 696-5674

3105 N 93rd St
Omaha, NE 68134
Phone (402) 496-0088

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535414400000",
    "number": "1265718142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7724 NORTH STREET",
            "city": "ST. LOUIS PARK",
            "state": "MN",
            "postal_code": "55426",
            "telephone_number": "720-273-8502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "968 GRAND AVE.",
            "city": "ST. PAUL",
            "state": "MN",
            "postal_code": "55105",
            "telephone_number": "651-895-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CAITLIN",
        "middle_name": "MARIE",
        "credential": "CNM, MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2018-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "CO",
            "license": "CNM-170014",
            "primary": false
        },
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "MN",
            "license": "CNM",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAITLIN",
            "last_name": "WAIT",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St. Paul, MN

Sources for this page

Verify at the official NPI Registry.