Active NPI
Melissa E Young, REGISTERED NURSE
- School Registered Nurse
- Omaha, NE
National Provider Identifier
1275017774
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 35565
- Practice address
- 1616 S 120TH St
Omaha, NE 68144-1687 - Phone
- (531) 299-8581
- Fax
- (531) 299-2298
- NPI assigned
- Sep 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 35565 | NE | Primary |
Addresses
Primary practice location
1616 S 120TH St
Omaha, NE 68144-1687
Mailing address
1616 S 120TH St
Omaha, NE 68144-1687
Phone (531) 299-8581
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35565 | Medicaid | NE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35565 | NE | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537401600000",
"number": "1275017774",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1616 S 120TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681441687",
"telephone_number": "531-299-8581",
"fax_number": "531-299-2298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1616 S 120TH ST",
"city": "OMAHA",
"state": "NE",
"postal_code": "681441687",
"telephone_number": "531-299-8581",
"fax_number": "531-299-2298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MELISSA",
"middle_name": "E",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-20",
"last_updated": "2018-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NE",
"license": "35565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35565",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.