Active NPI
Melissa Laura Young, APRN FNP-C, RN
- Family Nurse Practitioner
- Saint Johns, FL
National Provider Identifier
1427791995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN11018312
- Practice address
- 124 Riverwalk Blvd
St Johns, FL 32259-8622 - Phone
- (913) 240-4541
- NPI assigned
- Apr 13, 2022
- Last updated
- Apr 13, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN9498648 | FL | |
| Family Nurse Practitioner | 363LF0000X | APRN11018312 | FL | Primary |
Addresses
Primary practice location
124 Riverwalk Blvd
St Johns, FL 32259-8622
Mailing address
124 Riverwalk Blvd
St Johns, FL 32259-8622
Phone (913) 240-4541
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9498648 | FL | MD | Registered Nurse |
| APRN11018312 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649808000000",
"number": "1427791995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 RIVERWALK BLVD",
"city": "ST JOHNS",
"state": "FL",
"postal_code": "322598622",
"telephone_number": "913-240-4541"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 RIVERWALK BLVD",
"city": "ST JOHNS",
"state": "FL",
"postal_code": "322598622",
"telephone_number": "913-240-4541"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MELISSA",
"middle_name": "LAURA",
"credential": "APRN FNP-C, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-13",
"last_updated": "2022-04-13",
"certification_date": "2022-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "FL",
"license": "RN9498648",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "APRN11018312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Johns, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.