Jena Young

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

Practice address

19 Sapphire LN
Fairview Heights, IL 62208-2641

Phone

(618) 741-7055

NPI assigned

Sep 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1601164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601164800000",
    "number": "1366059008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 SAPPHIRE LN",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082641",
            "telephone_number": "618-741-7055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 SAPPHIRE LN",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622082641",
            "telephone_number": "618-741-7055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JENA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-27",
        "last_updated": "2020-09-27",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Douglas Woods, D.C.
• Christopher Worth, DC
• Mark Thomas Wright, D.C.
• XRT III, Inc
• Moshood A Yinusa, FNP
• Sara Young
• Amanda R Zahn
• Kimberly Renee Zimmer

• Prosthetics Case Management in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Prosthetics Case Management in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.