Active NPI
Denise Eady Young, FNP-BC
- Family Nurse Practitioner
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP108722
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160933102 | Medicaid | TX | |
| 160933104 | Medicaid | TX | |
| 160933103 | Medicaid | TX |
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
Enrollment records 1
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
Practice addresses (Care Compare)
Dallas, TX 75238
Phone (972) 798-8001
Hospital & facility affiliations
- Platinum Healthcare Corp
- Reliant at Home
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 650475 | TX | MD | Family Nurse Practitioner |
| AP108722 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Molina Care Connections, LLC. | Current | Accepting new patients | |
| CSH Corp. | Current | Accepting new patients | |
| Trinity Home Visiting Doctors PLLC | Current | Accepting new patients | |
| Topcare Medical PA | Past | 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.
-
- General Practice Physician
- Dallas, TX
- NPI 1386518355
-
- Adult Medicine Physician
- Farmers Branch, TX
- NPI 1043748262
-
- Specialist
- Irving, TX
- NPI 1043231400
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Plano, TX
- NPI 1235168345
-
- Home Health Agency
- Addison, TX
- NPI 1912987611
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.