Mary Ellen Young, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

151850-030 Issued in WI

Practice address

422 Valley View Dr
Poynette, WI 53955-8966

Phone

(608) 635-7757

NPI assigned

Sep 17, 2008

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 17, 2008.

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221609600000",
    "number": "1437308152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 VALLEY VIEW DR",
            "city": "POYNETTE",
            "state": "WI",
            "postal_code": "539558966",
            "telephone_number": "608-635-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "422 VALLEY VIEW DR",
            "city": "POYNETTE",
            "state": "WI",
            "postal_code": "539558966",
            "telephone_number": "608-635-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MARY",
        "middle_name": "ELLEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-17",
        "last_updated": "2008-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WI",
            "license": "151850-030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "35062400",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Thompson, LMT
• Paul Vang
• Dawn Marie Wadzinski, OTR
• We Care Home Care Services LLC
• David B. Yaeger, DC

• All providers in Poynette, WI
• Registered Nurse in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.