Active NPI
Sarah Lynne Young, NP
- Pediatric Nurse Practitioner
- Delta, CO
National Provider Identifier
1366864241
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APN.0992206-NP
- Practice address
- 360 E 8TH St
Delta, CO 81416-2379 - Phone
- (970) 874-2753
- Fax
- (970) 874-6852
- NPI assigned
- Jan 13, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 95000221 | CA | |
| Pediatric Nurse Practitioner | 363LP0200X | APN.0992206-NP | CO | Primary |
Addresses
Primary practice location
360 E 8TH St
Delta, CO 81416-2379
Mailing address
360 E 8TH St
Delta, CO 81416-2379
Phone (970) 874-2753
Other names 1
- Sarah Lynne Gray
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95000221 | CA | MD | Pediatric Nurse Practitioner |
| APN.0992206-NP | CO | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1389571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637625600000",
"number": "1366864241",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 E 8TH ST",
"city": "DELTA",
"state": "CO",
"postal_code": "814162379",
"telephone_number": "970-874-2753",
"fax_number": "970-874-2753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 E 8TH ST",
"city": "DELTA",
"state": "CO",
"postal_code": "814162379",
"telephone_number": "970-874-2753",
"fax_number": "970-874-6852"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "SARAH",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-13",
"last_updated": "2021-11-23",
"certification_date": "2021-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "95000221",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CO",
"license": "APN.0992206-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SARAH",
"last_name": "GRAY",
"middle_name": "LYNNE",
"credential": "NP",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Delta, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.