Active NPI
Wendy Young, A.P.N.
- Nurse Practitioner
- Independence, LA
National Provider Identifier
1336189927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 03737
- Practice address
- 52579 Highway 51 South
Lallie Kemp Hospital
Independence, LA 70443 - Phone
- (985) 878-9421
- Fax
- (985) 878-1431
- NPI assigned
- Jun 8, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 03737 | LA | Primary |
Addresses
Primary practice location
52579 Highway 51 South
Lallie Kemp Hospital
Independence, LA 70443
Mailing address
10084 Richardson Rd
Independence, LA 70443-3000
Phone (985) 878-4210
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03737 | LA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lallie Kemp Medical Ctr | Current | Accepting new patients | |
| Lallie Kemp Medical Ctr | Nurse Practitioner | Current | Accepting new patients |
Locations
52579 Highway 51 S
Independence, LA 70443
Phone (985) 878-1349
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.
-
- Critical Access Hospital
- Independence, LA
- NPI 1972545846
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1336189927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10084 RICHARDSON RD",
"city": "INDEPENDENCE",
"state": "LA",
"postal_code": "704433000",
"telephone_number": "985-878-4210",
"fax_number": "985-878-1431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52579 HIGHWAY 51 SOUTH",
"address_2": "LALLIE KEMP HOSPITAL",
"city": "INDEPENDENCE",
"state": "LA",
"postal_code": "70443",
"telephone_number": "985-878-9421",
"fax_number": "985-878-1431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "WENDY",
"credential": "A.P.N.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "LA",
"license": "03737",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Independence, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.