Kristyn Kelly Young, SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SPL-0847 Issued in WV

Practice address

1 John Marshall Dr
Huntington, WV 25755-1428

Phone

(304) 696-3641

Fax

(304) 696-2986

NPI assigned

Sep 22, 2006

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristyn.young@marshall.cernerdirect.com

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.

• Marshall University

  • Speech-Language Pathologist
  • Huntington, WV
  • NPI 1407917271
  Medicare reassignment NPD
• Developmental Therapy Center, Inc

  • Speech-Language Pathologist
  • Huntington, WV
  • NPI 1073828158
  NPD (past)
• Developmental Therapy Center, Inc.

  • Public Health or Welfare Agency
  • Huntington, WV
  • NPI 1801040746
  NPD (past)

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

{
    "created_epoch": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1477653459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3189 SUMNER AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052732",
            "telephone_number": "304-522-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 JOHN MARSHALL DR",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257551428",
            "telephone_number": "304-696-3641",
            "fax_number": "304-696-2986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KRISTYN",
        "middle_name": "KELLY",
        "credential": "SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WV",
            "license": "SPL-0847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristyn.young@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1 John Marshall Dr",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257551428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cindy Lee Young
• Connie Jean Young
• Elaine M Young, MD
• Emily K Young
• Felicity M Young
• Leonard Isaiah Young
• Maleek Young
• Michele Young, LICSW
• Stephanie Angel Young
• Bobby Younger

• Speech-Language Pathologist in Huntington, WV
• Providers in Huntington, WV by specialty
• Speech-Language Pathologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.