Individual provider Active NPI

Lisa Young, RN

  • Community Health Registered Nurse
  • Greenfield, MA
National Provider Identifier
1558966820
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
076170-21 Issued in NH
Practice address
1 Arch PL
Greenfield, MA 01301-2457
Phone
(413) 582-0471
NPI assigned
Dec 3, 2020
Last updated
Dec 3, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X TEMP3696 MA
Community Health Registered Nurse 163WC1500X 076170-21 NH Primary

Addresses

Primary practice location

1 Arch PL
Greenfield, MA 01301-2457

Mailing address

1 Arch PL
Greenfield, MA 01301-2457
Phone (413) 774-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL lisa.young@csoinc.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
TEMP3696MAMDCommunity Health Registered Nurse
076170-21NHMDCommunity Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1558966820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ARCH PL",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012457",
            "telephone_number": "413-774-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ARCH PL",
            "city": "GREENFIELD",
            "state": "MA",
            "postal_code": "013012457",
            "telephone_number": "413-582-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MA",
            "license": "TEMP3696",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NH",
            "license": "076170-21",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "lisa.young@csoinc.org",
            "affiliation": "N",
            "address_1": "1 Arch Pl",
            "city": "Greenfield",
            "state": "MA",
            "country_code": "US",
            "postal_code": "013012457",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greenfield, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.