Active NPI
Tredena Nicole Young, N.M.D.
- Naturopath
- Fair Oaks, CA
National Provider Identifier
1407163454
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Naturopath
- License
- ND564
- Practice address
- 9801 Fair Oaks Blvd Ste 300
Fair Oaks, CA 95628-7051 - Phone
- (916) 265-9990
- Fax
- (833) 643-1223
- NPI assigned
- Sep 10, 2010
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Naturopath | 175F00000X | ND564 | CA | Primary |
Addresses
Primary practice location
9801 Fair Oaks Blvd Ste 300
Fair Oaks, CA 95628-7051
Mailing address
9801 Fair Oaks Blvd Ste 300
Fair Oaks, CA 95628-7051
Phone (916) 265-9990
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 |
|---|---|---|---|
| ND564 | CA | MD | Naturopath |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1407163454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9801 FAIR OAKS BLVD STE 300",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956287051",
"telephone_number": "916-265-9990",
"fax_number": "855-952-1992"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9801 FAIR OAKS BLVD STE 300",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956287051",
"telephone_number": "916-265-9990",
"fax_number": "833-643-1223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "TREDENA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "N.M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-10",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "175F00000X",
"taxonomy_group": "",
"desc": "Naturopath",
"state": "CA",
"license": "ND564",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.