Individual provider Active NPI

Denise Eady Young, FNP-BC

  • Family Nurse Practitioner
  • Irving, TX
National Provider Identifier
1548477367
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP108722 Issued in TX
Practice address
5605 N Macarthur Blvd Ste 400
Irving, TX 75038-2693
Phone
(888) 562-5442
Fax
(562) 276-4825
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 650475 TX
Family Nurse Practitioner 363LF0000X AP108722 TX Primary

Addresses

Primary practice location

5605 N Macarthur Blvd Ste 400
Irving, TX 75038-2693

Mailing address

200 Oceangate Ste 100
Long Beach, CA 90802-4317
Phone (562) 499-6191

Other identifiers 3

IdentifierTypeStateIssuer
160933102MedicaidTX
160933104MedicaidTX
160933103MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090925000444 TX Practitioner - Nurse Practitioner 2264588607 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CSH Corp.Group PAC ID 5395234199, 15 clinicians

Practice addresses (Care Compare)

Dallas, TX 75238
Phone (972) 798-8001

Hospital & facility affiliations

  • Platinum Healthcare Corp Home health agency, Addison, TX, CCN 453199
  • Reliant at Home Home health agency, Plano, TX, CCN 679352

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
650475TXMDFamily Nurse Practitioner
AP108722TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Care Connections, LLC. CurrentSince Jul 10, 2017 Accepting new patients
CSH Corp. CurrentSince Oct 2, 2025 Accepting new patients
Trinity Home Visiting Doctors PLLC CurrentSince Aug 1, 2018 Accepting new patients
Topcare Medical PA PastSince Apr 2, 2012 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

10935 Estate Ln
#S427
Dallas, TX 75238
Phone (817) 350-7040

2735 Villa Creek Dr
Ste A143
Farmers Branch, TX 75234
Phone (972) 677-7964

13509 Lyndon B Johnson Fwy
Ste 200
Garland, TX 75041
Phone (469) 898-3694

5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (972) 536-7265

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1548477367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE STE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "562-499-6191",
            "fax_number": "562-276-4825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 N MACARTHUR BLVD STE 400",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750382693",
            "telephone_number": "888-562-5442",
            "fax_number": "562-276-4825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DENISE",
        "middle_name": "EADY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "650475",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP108722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160933102",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160933104",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160933103",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.