Individual provider Active NPI

Tasha Young, RN

  • General Practice Registered Nurse
  • Smyrna, GA
National Provider Identifier
1295119832
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN186121 Issued in GA
Practice address
2512 Oakwood Way SE
Smyrna, GA 30080-3838
Phone
(678) 909-9035
NPI assigned
Jul 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN186121 GA
Health & Wellness Coach 171400000X
Case Manager/Care Coordinator 171M00000X RN186121 GA
General Practice Registered Nurse 163WG0000X RN186121 GA Primary

Addresses

Primary practice location

2512 Oakwood Way SE
Smyrna, GA 30080-3838

Mailing address

1450 W Peachtree St. NW 200
Unite 25349
Atlanta, GA 30309-3838
Phone (678) 909-9035

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN186121GAMDGeneral Practice Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Young Professional Consulting LLC Current Accepting new patients
Young Professional Consulting LLC Current Accepting new patients

Locations

1450 W Peachtree St NW
#200
Atlanta, GA 30309

Organizations & group practices 2

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": "1436832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667779200000",
    "number": "1295119832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1450 W PEACHTREE ST. NW 200",
            "address_2": "UNITE 25349",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303093838",
            "telephone_number": "678-909-9035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2512 OAKWOOD WAY SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300803838",
            "telephone_number": "678-909-9035"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TASHA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-07-14",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "GA",
            "license": "RN186121",
            "primary": false
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "GA",
            "license": "RN186121",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "GA",
            "license": "RN186121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.