Individual provider Active NPI

Hannah Jo Young, MS CCC-SLP

  • Speech-Language Pathologist
  • Laramie, WY
National Provider Identifier
1376274845
Registry record updated Jun 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP-1105 Issued in WY
Practice address
1000 E University Ave Dept 3311
Laramie, WY 82071-2001
Phone
(307) 766-6426
NPI assigned
Jun 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SP-1105 WY Primary

Addresses

Primary practice location

1000 E University Ave Dept 3311
Laramie, WY 82071-2001

Mailing address

1509 E Park Ave
Laramie, WY 82070-4224
Phone (307) 640-1188

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SP-1105WYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Wyoming Speech and Hearing Clinic CurrentSince Sep 1, 2022 Accepting new patients
University of Wyoming Current Accepting new patients
University of Wyoming CurrentSince Sep 1, 2022 Accepting new patients
University of Wyoming Past Accepting new patients

Locations

820 E 17th St
Cheyenne, WY 82001
Phone (307) 431-5055

1000 E University Ave
Laramie, WY 82071
Phone (307) 766-1121

1000 E University Ave
#3311
Laramie, WY 82071
Phone (307) 766-6426

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655942400000",
    "number": "1376274845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 E PARK AVE",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820704224",
            "telephone_number": "307-640-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E UNIVERSITY AVE DEPT 3311",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820712001",
            "telephone_number": "307-766-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "HANNAH",
        "middle_name": "JO",
        "credential": "MS CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-23",
        "last_updated": "2022-06-23",
        "certification_date": "2022-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WY",
            "license": "SP-1105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; 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.