Active NPI
Young Health & Wellness
- Clinic/Center
- Salt Lake City, UT
National Provider Identifier
1366982522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 53036184405
- Legal business name
- YOUNG HEALTH & WELLNESS
- Practice address
- 3018 E 3300 S
Salt Lake City, UT 84109-2144 - Phone
- (801) 815-2967
- NPI assigned
- Mar 6, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Diane Young, FNP
- Title
- Provider
- Phone
- (801) 815-2967
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 53036184405 | UT | Primary |
| Family Nurse Practitioner | 363LF0000X | 5303618-4405 | UT |
Addresses
Primary practice location
3018 E 3300 S
Salt Lake City, UT 84109-2144
Mailing address
6321 S Boxwood Rd
Salt Lake City, UT 84121-2213
Phone (801) 815-2967
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366982522 | Other | UT | PRACTICE NPI |
| 1194122788 | Other | UT | PROVIDER NPI |
National Provider Directory
National Provider DirectoryLocations
3018 E 3300 S
Slc, UT 84109
Phone (801) 419-0705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1488758400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1502323200000",
"number": "1366982522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6321 S BOXWOOD RD",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841212213",
"telephone_number": "801-815-2967"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3018 E 3300 S",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841092144",
"telephone_number": "801-815-2967"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUNG HEALTH & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-06",
"last_updated": "2017-08-10",
"status": "A",
"authorized_official_last_name": "YOUNG",
"authorized_official_first_name": "DIANE",
"authorized_official_title_or_position": "PROVIDER",
"authorized_official_telephone_number": "801-815-2967",
"authorized_official_credential": "FNP"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "UT",
"license": "53036184405",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "UT",
"license": "5303618-4405",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRACTICE NPI",
"identifier": "1366982522",
"state": "UT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NPI",
"identifier": "1194122788",
"state": "UT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Salt Lake City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.