Emily Ruth Youngblood, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

337680 Issued in NY

Practice address

205 E 76TH St
Suite M2
New York, NY 10021-2147

Phone

(212) 472-4802

NPI assigned

Nov 22, 2012

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1353542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353542400000",
    "number": "1275877722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 E 76TH ST",
            "address_2": "SUITE M2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212147",
            "telephone_number": "212-472-4802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 E 76TH ST",
            "address_2": "SUITE M2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100212147",
            "telephone_number": "212-472-4802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "EMILY",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-22",
        "last_updated": "2012-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Isabella Mia Youngberg, PHARMD
• Mariann Youngberg
• Alan Youngblood, LMHC
• Alix E Youngblood, MD
• Brian James Youngblood, LCSW
• Raushelle Claudia Younge
• Richard G Younge, MD,MPH
• Stacey Raquel Younge, LCSW
• Chelsie Younger
• David Steven Younger, MD

• Family Nurse Practitioner in New York, NY
• Providers in New York, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2012; 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.