Organization Active NPI

Young Health & Wellness

  • Clinic/Center
  • Salt Lake City, UT
National Provider Identifier
1366982522
Registry record updated Aug 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
53036184405 Issued in UT
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

Updated by the provider on Aug 10, 2017

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)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 53036184405 UT Primary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1366982522OtherUTPRACTICE NPI
1194122788OtherUTPROVIDER NPI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.