Active NPI
Joleene Marie Young, CRNP
- Nurse Practitioner
- Pittsburgh, PA
National Provider Identifier
1336575042
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- SP013109
- Practice address
- 107 Gamma Dr
Pittsburgh, PA 15238-2917 - Phone
- (412) 963-6677
- Fax
- (412) 963-6868
- NPI assigned
- Sep 25, 2013
- 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 | SP013109 | PA | Primary |
Addresses
Primary practice location
107 Gamma Dr
Pittsburgh, PA 15238-2917
Mailing address
1027 Bank St
Bridgeville, PA 15017-2201
Phone (412) 977-1966
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)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Golla Center for Plastic Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Pittsburgh, PA
- NPI 1336576834
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380067200000",
"number": "1336575042",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1027 BANK ST",
"city": "BRIDGEVILLE",
"state": "PA",
"postal_code": "150172201",
"telephone_number": "412-977-1966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 GAMMA DR",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152382917",
"telephone_number": "412-963-6677",
"fax_number": "412-963-6868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JOLEENE",
"middle_name": "MARIE",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-25",
"last_updated": "2013-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "PA",
"license": "SP013109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pittsburgh, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.