Individual provider Active NPI

Wendy Young, A.P.N.

  • Nurse Practitioner
  • Independence, LA
National Provider Identifier
1336189927
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
03737 Issued in LA
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03737LAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lallie Kemp Medical Ctr CurrentSince Dec 1, 2001 Accepting new patients
Lallie Kemp Medical Ctr Nurse Practitioner CurrentSince Dec 1, 2001 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.

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

Verify at the official NPI Registry.