Kevin Michael Young, DNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

11013675 Issued in FL

Practice address

541 Shady Pine Way Apt C
Greenacres, FL 33415-8904

Phone

(607) 221-1934

NPI assigned

Feb 3, 2023

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Orthopedic Center of Palm Beach County, LLC

  dba Sports and Orthopedic Center

  • Specialist
  • Atlantis, FL
  • NPI 1114079738
  Medicare reassignment NPD
• Young Health & Wellness PLLC

  • Primary Care Clinic/Center
  • Greenacres, FL
  • NPI 1568391852
  NPD Authorized official
• Orthopedic Center of Palm Beach County

  • Durable Medical Equipment & Medical Supplies
  • Boca Raton, FL
  • NPI 1891683801
  NPD
• Orthopedic Center of Palm Beach County, LLC

  • Orthopaedic Surgery Physician
  • Atlantis, FL
  • NPI 1164963252
  NPD (past)

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

{
    "created_epoch": "1675382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1376249029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 SHADY PINE WAY APT C",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334158904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 SHADY PINE WAY APT C",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334158904",
            "telephone_number": "607-221-1934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3401 Pga Blvd Ste 500",
            "address_purpose": "LOCATION",
            "city": "Palm Beach Gardens",
            "state": "FL",
            "postal_code": "334102825",
            "country_code": "US",
            "telephone_number": "561-659-6543",
            "fax_number": "561-659-3533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2001 N Flagler Dr",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334076109",
            "country_code": "US",
            "telephone_number": "561-659-6543",
            "fax_number": "561-659-3533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "DNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-03",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11013675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yahweh Jireh Home Health Services Inc
• Michael Vincent Yamamoto, PT
• Cindy Mirie Yepes, L.M.T
• Young Health & Wellness PLLC
• Jade Young, PHARMD
• Alberto Zarak, M.D.
• Mateo Zuleta
• Diana Zumaran, DMD
• Kenneth T. Zylstra, PA

• Nurse Practitioner in Greenacres, FL
• Providers in Greenacres, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.