Active NPI
Darnell Elizabeth Young, OTA
- Occupational Therapy Assistant
- Starbuck, MN
National Provider Identifier
1376312983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 201074
- Practice address
- 605 Main Street
Starbuck, MN 58381 - Phone
- (320) 360-5880
- NPI assigned
- Dec 22, 2023
- Last updated
- Dec 22, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 201074 | MN | Primary |
Addresses
Primary practice location
605 Main Street
Starbuck, MN 58381
Mailing address
905 1St St SE
Melrose, MN 56352-1411
Phone (132) 036-0588
Other names 1
- Miss Darnell Elizabeth Morrow
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201074 | MN | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703203200000",
"number": "1376312983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 1ST ST SE",
"city": "MELROSE",
"state": "MN",
"postal_code": "563521411",
"telephone_number": "132-036-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "605 MAIN STREET",
"city": "STARBUCK",
"state": "MN",
"postal_code": "58381",
"telephone_number": "320-360-5880"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "DARNELL",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "OTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-22",
"last_updated": "2023-12-22",
"certification_date": "2023-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MN",
"license": "201074",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DARNELL",
"last_name": "MORROW",
"middle_name": "ELIZABETH",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Starbuck, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.