Kay Lavette Young, HEALTH EDUCATOR

Primary specialty

Health & Wellness CoachTaxonomy code 171400000X

Practice address

105 Shadowlane Dr
Holly Springs, MS 38635-3148

Phone

(662) 544-6411

NPI assigned

Feb 7, 2023

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

Other names 1

• Kay Lavette Young Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1518664861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 SHADOWLANE DR",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386353148",
            "telephone_number": "662-544-6411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 SHADOWLANE DR",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386353148",
            "telephone_number": "662-544-6411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KAY",
        "middle_name": "LAVETTE",
        "credential": "HEALTH EDUCATOR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "YOUNG",
            "middle_name": "LAVETTE",
            "credential": "HEALTH EDUCATOR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Richard Goodman Wiseman, FNP
• WMC Pharmacy
• Natalie Denise Woodard, MSW, CMHT
• Phyllis Renee Wright, FNP
• Gwendolynn Wyatt, SLP
• Zebra Transportation, LLC

• Health & Wellness Coach in Holly Springs, MS
• Providers in Holly Springs, MS by specialty
• Health & Wellness Coach in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; 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.