Active NPI
Colleen Kreidler Young, RD LDN
- Registered Dietitian
- Narberth, PA
National Provider Identifier
1346433372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- DN003248
- Practice address
- 114 Forrest Ave
Suite 104
Narberth, PA 19072-2218 - Phone
- (610) 664-5858
- Fax
- (610) 664-5250
- NPI assigned
- Aug 22, 2007
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | DN003248 | PA | Primary |
Addresses
Primary practice location
114 Forrest Ave
Suite 104
Narberth, PA 19072-2218
Mailing address
114 Forrest Ave
Suite 104
Narberth, PA 19072-2218
Phone (610) 664-5858
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN003248 | PA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colleen K Young | Dietitian, Registered | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193356800000",
"number": "1346433372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 FORREST AVE",
"address_2": "SUITE 104",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190722218",
"telephone_number": "610-664-5858",
"fax_number": "610-664-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 FORREST AVE",
"address_2": "SUITE 104",
"city": "NARBERTH",
"state": "PA",
"postal_code": "190722218",
"telephone_number": "610-664-5858",
"fax_number": "610-664-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "COLLEEN",
"middle_name": "KREIDLER",
"name_prefix": "Ms.",
"credential": "RD LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-22",
"last_updated": "2007-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "PA",
"license": "DN003248",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Narberth, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.