Active NPI
Connie Symone Young, COS
- Prosthetic/Orthotic Supplier
- Valparaiso, IN
National Provider Identifier
1508776550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- BC21500013
- Practice address
- 786 McCool Rd Ste 7
Valparaiso, IN 46385-8894 - Phone
- (219) 308-0141
- NPI assigned
- Sep 11, 2026
- 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 |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | BC21500013 | IN | Primary |
Addresses
Primary practice location
786 McCool Rd Ste 7
Valparaiso, IN 46385-8894
Mailing address
786 McCool Rd Ste 7
Valparaiso, IN 46385-8894
Phone (219) 308-0141
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1508776550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "786 MCCOOL RD STE 7",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463858894",
"telephone_number": "219-308-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "786 MCCOOL RD STE 7",
"city": "VALPARAISO",
"state": "IN",
"postal_code": "463858894",
"telephone_number": "219-308-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CONNIE",
"middle_name": "SYMONE",
"credential": "COS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-09-11",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "IN",
"license": "BC21500013",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valparaiso, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.