Individual provider Active NPI

Chaney Young, FNP-C

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1417721036
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1044498 Issued in TX
Practice address
1919 S Shiloh Rd Ste 333
Garland, TX 75042-8235
Phone
(972) 864-2050
NPI assigned
Nov 14, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 24277559 TX
Family Nurse Practitioner 363LF0000X 1044498 TX Primary

Addresses

Primary practice location

1919 S Shiloh Rd Ste 333
Garland, TX 75042-8235

Mailing address

1919 S Shiloh Rd Ste 333
Garland, TX 75042-8235
Phone (972) 864-2050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20241018001507 TX Practitioner - Nurse Practitioner 6103358858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Our Family Doctor, P. a.Group PAC ID 0042278657, 4 clinicians

Practice addresses (Care Compare)

1919 S Shiloh Rd
Suite 333
Garland, TX 75042-8235
Phone (972) 864-2050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
24277559TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Our Family Doctor, P. a. CurrentSince Mar 1, 2025 Accepting new patients
Mindful Dermatology, PLLC PastSince Nov 1, 2023 Accepting new patients

Locations

1919 S Shiloh Rd
Ste 333
Garland, TX 75042
Phone (972) 276-9902

Organizations & group practices 2

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": "1699920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1417721036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S SHILOH RD STE 333",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750428235",
            "telephone_number": "972-864-2050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S SHILOH RD STE 333",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750428235",
            "telephone_number": "972-864-2050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CHANEY",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-14",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "24277559",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1044498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.