Kaylen Elise Young

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

291627 Issued in KY

Practice address

23 W Center St
Madisonville, KY 42431-1941

Phone

(270) 452-2835

NPI assigned

Apr 15, 2024

Reactivated

May 3, 2024

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

Other names 1

• Kaylen Osborne Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Bluegrass Kids Therapy Center LLC

  • Speech-Language Pathologist
  • Madisonville, KY
  • NPI 1043976152
  NPD

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1366296691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 W CENTER ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311941",
            "telephone_number": "270-452-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W CENTER ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311941",
            "telephone_number": "270-452-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KAYLEN",
        "middle_name": "ELISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-05-03",
        "certification_date": "2024-04-13",
        "deactivation_date": "2024-04-16",
        "reactivation_date": "2024-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "KY",
            "license": "291627",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLEN",
            "last_name": "OSBORNE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Makinzy Yates
• Sara Catherine Yates
• James Criss Yelton, M.D.
• Bonnie Hastings Young-Turley, M.ED., LPCA
• Elizabeth Anne Young
• Mackenzie Young, FNP-C
• Makayla Zanck
• Traci Zimmerman, LMT

• Speech-Language Pathologist in Madisonville, KY
• Providers in Madisonville, KY by specialty
• Speech-Language Pathologist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.