Active NPI
Yacey Young
- Chiropractor
- Lawrence, KS
National Provider Identifier
1508401282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 01-06004
- Practice address
- 4910 Wakarusa CT Ste a
Lawrence, KS 66047-2809 - Phone
- (620) 791-8770
- NPI assigned
- Nov 17, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 01-06004 | KS | Primary |
Addresses
Primary practice location
4910 Wakarusa CT Ste a
Lawrence, KS 66047-2809
Mailing address
2401 W 25TH St Apt 2A5
Lawrence, KS 66047-2924
Phone (620) 791-8770
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Lawrence |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200616000596 | KS | Practitioner - Chiropractic | 7416379771 | Practice locations: Lawrence, KS |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01-06004 | KS | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1573948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573948800000",
"number": "1508401282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2401 W 25TH ST APT 2A5",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660472924",
"telephone_number": "620-791-8770"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4910 WAKARUSA CT STE A",
"city": "LAWRENCE",
"state": "KS",
"postal_code": "660472809",
"telephone_number": "620-791-8770"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "YACEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-11-17",
"last_updated": "2019-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "KS",
"license": "01-06004",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Lawrence",
"affiliation": "N",
"address_1": "4910 Wakarusa Ct Ste A",
"city": "Lawrence",
"state": "KS",
"country_code": "US",
"postal_code": "660472809",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Lawrence, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2019; 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.