Kathleen Elizabeth Young, MB BCH ( MD EQUIVALE

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

4173 Issued in AK

Practice address

1363 W Spruce Ave
Wasilla, AK 99654-5327

Phone

(907) 376-2411

Fax

(907) 352-3373

NPI assigned

Feb 3, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Alaska Family Care Associates, LLCGroup PAC ID 6406745991, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Providence Alaska Medical Center Hospital, Anchorage, AK, CCN 020001

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Alaska Family Care Associates, LLC

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1013025600
  Medicare reassignment Care Compare group NPD
• Alaska Regional Medical Group, LLC

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1619370319
  Medicare reassignment NPD
• Northwest Medical Professional Corporation

  • Family Medicine Physician
  • Anchorage, AK
  • NPI 1609848514
  NPD
• Alaska Medicare Clinic, Inc

  • Primary Care Clinic/Center
  • Anchorage, AK
  • NPI 1790087534
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Providence Health & Services Washington

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1053363119
  Care Compare affiliation

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1326010232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1363 W SPRUCE AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996545327",
            "telephone_number": "907-376-2411",
            "fax_number": "907-352-3373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1363 W SPRUCE AVE",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996545327",
            "telephone_number": "907-376-2411",
            "fax_number": "907-352-3373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KATHLEEN",
        "middle_name": "ELIZABETH",
        "credential": "MB BCH ( MD EQUIVALE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AK",
            "license": "4173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD4173",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deanna Lea Yoder-Black, MS, CCC-SLP/L
• Sabrina Sonia Yoder, C.N.M.
• Hunter Kai York
• Bailey B Young
• Clifton Young III, MA, LPC, CDC II
• Mark Youngberg
• Cayla Yount
• Candace Lynn Younts, PTA
• Birch Arthur Yuknis, DDS
• Ashley Yunker-Hamsher, LMT

• Family Medicine Physician in Wasilla, AK
• Providers in Wasilla, AK by specialty
• Family Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.