Individual provider Active NPI

Jennifer Loyal Young, RDN, LD

  • Registered Dietitian
  • Owensboro, KY
National Provider Identifier
1356932735
Registry record updated Aug 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
123126 Issued in KY
Practice address
811 E Parrish Ave Ste 102
Owensboro, KY 42303-3258
Phone
(270) 688-2077
Fax
(270) 688-2078
NPI assigned
Jan 28, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 123126 KY Primary

Addresses

Primary practice location

811 E Parrish Ave Ste 102
Owensboro, KY 42303-3258

Mailing address

PO Box 23229
Owensboro, KY 42304-3229
Phone (270) 688-1330

Other practice location 1

1213 N Main St
Beaver Dam, KY 42320-8955
Phone (270) 274-4771

Other practice location 2

2025 W Everly Brothers Blvd Ste 1A
Powderly, KY 42367-5401
Phone (270) 377-2600

Other practice location 3

1200 Barrett Blvd
Henderson, KY 42420-4950
Phone (270) 844-8600

Other practice location 4

908 Wallace Ave Ste 103
Leitchfield, KY 42754-1479
Phone (270) 200-4510

Other practice location 5

912 Wallace Ave Ste 102
Leitchfield, KY 42754-2405
Phone (270) 259-8888

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address jyoung106972@direct.owensborohealth.org
Direct Messaging Address jyoung106972@direct.owensborohealth.org
Direct Messaging Address jyoung106972@direct.owensborohealth.org
Direct Messaging Address jyoung106972@direct.owensborohealth.org
Direct Messaging Address jyoung106972@direct.owensborohealth.org
Direct Messaging Address jyoung106972@direct.owensborohealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216001442 KY Practitioner - Registered Dietitian Or Nutrition Professional 1557776085 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Owensboro Health Medical Group Inc Current Accepting new patients
Owensboro Health Medical Group, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Owensboro Health Medical Group Inc CurrentSince Feb 1, 2021 Accepting new patients
Owensboro Health Medical Group, Inc Past Accepting new patients

Locations

1213 N Main St
Beaver Dam, KY 42320
Phone (270) 274-4771

1200 Barret Blvd
Henderson, KY 42420
Phone (270) 844-8600

912 Wallace Ave
Ste 102
Leitchfield, KY 42754
Phone (270) 259-2878

908 Wallace Ave
Ste 103
Leitchfield, KY 42754
Phone (270) 200-4510

2211 Mayfair Dr
Ste 102
Owensboro, KY 42301
Phone (270) 688-1351

811 E Parrish Ave
Ste 102
Owensboro, KY 42303
Phone (270) 688-1228

2025 W Everly Brothers Blvd
Ste 1A
Powderly, KY 42367
Phone (270) 377-2600

Organizations & group practices 4

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": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1356932735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23229",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423043229",
            "telephone_number": "270-688-1330",
            "fax_number": "270-688-1338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 E PARRISH AVE STE 102",
            "city": "OWENSBORO",
            "state": "KY",
            "postal_code": "423033258",
            "telephone_number": "270-688-2077",
            "fax_number": "270-688-2078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1213 N Main St",
            "address_purpose": "LOCATION",
            "city": "Beaver Dam",
            "state": "KY",
            "postal_code": "423208955",
            "country_code": "US",
            "telephone_number": "270-274-4771",
            "fax_number": "270-274-4884",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2025 W Everly Brothers Blvd Ste 1A",
            "address_purpose": "LOCATION",
            "city": "Powderly",
            "state": "KY",
            "postal_code": "423675401",
            "country_code": "US",
            "telephone_number": "270-377-2600",
            "fax_number": "270-377-2610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Barrett Blvd",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "KY",
            "postal_code": "424204950",
            "country_code": "US",
            "telephone_number": "270-844-8600",
            "fax_number": "270-844-8610",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "908 Wallace Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Leitchfield",
            "state": "KY",
            "postal_code": "427541479",
            "country_code": "US",
            "telephone_number": "270-200-4510",
            "fax_number": "270-259-1515",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "912 Wallace Ave Ste 102",
            "address_purpose": "LOCATION",
            "city": "Leitchfield",
            "state": "KY",
            "postal_code": "427542405",
            "country_code": "US",
            "telephone_number": "270-259-8888",
            "fax_number": "270-259-8887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JENNIFER",
        "middle_name": "LOYAL",
        "credential": "RDN, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-28",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "KY",
            "license": "123126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyoung106972@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "811 E Parrish Ave Ste 102",
            "city": "Owensboro",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423033258",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyoung106972@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "908 Wallace Ave Ste 103",
            "city": "Leitchfield",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427541479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyoung106972@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "2025 W Everly Brothers Blvd Ste 1A",
            "city": "Powderly",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423675401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyoung106972@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "1213 N Main St",
            "city": "Beaver Dam",
            "state": "KY",
            "country_code": "US",
            "postal_code": "423208955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyoung106972@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "1200 Barrett Blvd",
            "city": "Henderson",
            "state": "KY",
            "country_code": "US",
            "postal_code": "424204950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyoung106972@direct.owensborohealth.org",
            "affiliation": "N",
            "address_1": "912 Wallace Ave Ste 102",
            "city": "Leitchfield",
            "state": "KY",
            "country_code": "US",
            "postal_code": "427542405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Owensboro, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.