Shirley Faye Young

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

233301 Issued in FL

Practice address

639 E Johnson Ave
Pensacola, FL 32514-3902

Phone

(850) 417-5834

NPI assigned

Oct 22, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1382400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382400000000",
    "number": "1265860688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 E JOHNSON AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325143902",
            "telephone_number": "850-417-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 E JOHNSON AVE",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325143902",
            "telephone_number": "850-417-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SHIRLEY",
        "middle_name": "FAYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-22",
        "last_updated": "2013-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "FL",
            "license": "233301",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "FL",
            "license": "233301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008309400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Rose Young, RD LDN
• Jordan Patricia Young
• Mary Ann Young, PTA
• Mary Beth Young, OD
• Meyata Shante Young
• Abigail L Youngen, DPT
• Jhonny David Yovera, MD
• Alberto Yu, M.D.
• Michael David Yue, MD
• Nesrin C Yurttutan-Engin, MD

• In Home Supportive Care Agency in Pensacola, FL
• Providers in Pensacola, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2013; 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.