Individual provider Active NPI

Beverly Christine Young, NP

  • Family Nurse Practitioner
  • Pounding Mill, VA
National Provider Identifier
1306452800
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
106586 Issued in WV
Practice address
113 Short St Ste 1
Pounding Mill, VA 24637-4278
Phone
(276) 708-7541
NPI assigned
Sep 20, 2020
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024179403 VA
Family Nurse Practitioner 363LF0000X 106586 WV Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024179403 VA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 106586 WV

Addresses

Primary practice location

113 Short St Ste 1
Pounding Mill, VA 24637-4278

Mailing address

130 Princeton Ave
Bluefield, WV 24701-2959
Phone (304) 400-6348

Other practice location 1

130 Princeton Ave
Bluefield, WV 24701-2959
Phone (304) 400-6348

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230628001594 VA Practitioner - Nurse Practitioner 5698142453 Reassigns benefits to 1 organization
I20230628002131 WV Practitioner - Nurse Practitioner 5698142453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Recover Together IncGroup PAC ID 7810247533, shared by 2 NPIs, 141 clinicians

Practice addresses (Care Compare)

130 Princeton Ave
Bluefield, WV 24701-2959
Phone (800) 683-8313

143 Aikens Ctr
Suite 1
Martinsburg, WV 25404-6202
Phone (800) 683-8313

3581 Robert C Byrd Dr
Beckley, WV 25801-2943
Phone (800) 683-8313

410 Rosedale CT
Suite 110
Warrenton, VA 20186-4329
Phone (800) 683-8313

4421 Emerson Ave
Suite 205
Parkersburg, WV 26104-1200
Phone (800) 683-8313

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
0024179403VAMDPsychiatric/Mental Health Nurse Practitioner
106586WVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Recover Together, LLC Family CurrentSince May 16, 2023 Accepting new patients
Recover Together, LLC Family CurrentSince May 16, 2023 Accepting new patients

Locations

Dept CH 17590
Palatine, IL 60055
Phone (844) 450-3100

111 S Bedford St
Ste 205
Burlington, MA 01803
Phone (512) 439-3547

6212 Jefferson Ave
Newport News, VA 23605

113 Short St
Ste 1
Pounding Mill, VA 24637
Phone (276) 708-7541

410 Rosedale Ct
Ste 110
Warrenton, VA 20186

130 Princeton Ave
Bluefield, WV 24701
Phone (304) 400-6348

4421 Emerson Ave
Ste 205
Parkersburg, WV 26104
Phone (304) 693-6096

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1600560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1306452800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 PRINCETON AVE",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247012959",
            "telephone_number": "304-400-6348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 SHORT ST STE 1",
            "city": "POUNDING MILL",
            "state": "VA",
            "postal_code": "246374278",
            "telephone_number": "276-708-7541"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 Princeton Ave",
            "address_purpose": "LOCATION",
            "city": "Bluefield",
            "state": "WV",
            "postal_code": "247012959",
            "country_code": "US",
            "telephone_number": "304-400-6348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BEVERLY",
        "middle_name": "CHRISTINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-20",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179403",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "106586",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024179403",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WV",
            "license": "106586",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pounding Mill, VA

Sources for this page

Verify at the official NPI Registry.