Jennifer Renee Youngblood, R.M.T.

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

0013998 Issued in CO

Practice address

2902 W 25TH St
Pueblo, CO 81003-1400

Phone

(719) 251-6471

Fax

(719) 543-7801

NPI assigned

Mar 13, 2013

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1427399609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2902 W 25TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810031400",
            "telephone_number": "719-251-6471",
            "fax_number": "719-543-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2902 W 25TH ST",
            "city": "PUEBLO",
            "state": "CO",
            "postal_code": "810031400",
            "telephone_number": "719-251-6471",
            "fax_number": "719-543-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "JENNIFER",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "R.M.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "CO",
            "license": "0013998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Lyn Young, FNP
• Regan Young, LCSW, CACIII
• Scott Alan Young, PSY.D.
• Sylvia Lysandra Young, NP
• Talisha Young
• Your Child'S Eyes, LLC
• Eric Yoxey, RPH
• Ronald Gerard Yoxey, PHARM D
• Andrew Yi-Long Yu, DDS
• Shaun Yunker

• Mechanotherapist in Pueblo, CO
• Providers in Pueblo, CO by specialty
• Mechanotherapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.