Active NPI
Lucinda Young, EKG TECHNICIAN
- Cardiology Technician
- Shenandoah, TX
National Provider Identifier
1366839417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiology Technician
- License
- 004789
- Practice address
- 123 Vision Park Blvd
Shenandoah, TX 77384-3001 - Phone
- (281) 364-0317
- NPI assigned
- Apr 15, 2015
- 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 |
|---|---|---|---|---|
| Cardiology Technician | 246W00000X | 004789 | TX | Primary |
Addresses
Primary practice location
123 Vision Park Blvd
Shenandoah, TX 77384-3001
Mailing address
10901 Mist LN
8305
Houston, TX 77070-4495
Phone (662) 599-9273
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 |
|---|---|---|---|
| 004789 | TX | MD | Cardiology Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1366839417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10901 MIST LN",
"address_2": "8305",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770704495",
"telephone_number": "662-599-9273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 VISION PARK BLVD",
"city": "SHENANDOAH",
"state": "TX",
"postal_code": "773843001",
"telephone_number": "281-364-0317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "LUCINDA",
"name_prefix": "Ms.",
"credential": "EKG TECHNICIAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-15",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "246W00000X",
"taxonomy_group": "",
"desc": "Technician, Cardiology",
"state": "TX",
"license": "004789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shenandoah, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.