Individual provider Active NPI

Kathleen M. Young, RNC, NP

  • Women's Health Nurse Practitioner
  • Kalispell, MT
National Provider Identifier
1578588992
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
APRN100189 Issued in MT
Practice address
115 Heavens Peak Dr
Kalispell, MT 59901-7141
Phone
(406) 752-8821
Fax
(406) 752-5261
NPI assigned
Jul 13, 2006
Last updated
Jul 21, 2022By the provider in NPPES
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
Women's Health Nurse Practitioner 363LW0102X APRN100189 MT Primary
Women's Health Nurse Practitioner 363LW0102X RN13548 MT

Addresses

Primary practice location

115 Heavens Peak Dr
Kalispell, MT 59901-7141

Mailing address

210 Sunnyview LN Ste 201
Kalispell, MT 59901-3128
Phone (406) 752-5252

Other identifiers 3

IdentifierTypeStateIssuer
500026892OtherMTRAILROAD MEDICARE
4302547MedicaidMT
000371160OtherMTBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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
I20040329001438 MT Practitioner - Nurse Practitioner 7315846490 Practice locations: Columbia Falls, MT

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN100189MTMDWomen's Health Nurse Practitioner
RN13548MTMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr Latter Foot Care LLC Past Accepting new patients
Hidden Meadow Management LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kathleen.young.1@28492.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1578588992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 SUNNYVIEW LN STE 201",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013128",
            "telephone_number": "406-752-5252",
            "fax_number": "406-752-5261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 HEAVENS PEAK DR",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599017141",
            "telephone_number": "406-752-8821",
            "fax_number": "406-752-5261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KATHLEEN",
        "middle_name": "M.",
        "credential": "RNC, NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MT",
            "license": "APRN100189",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MT",
            "license": "RN13548",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "500026892",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4302547",
            "state": "MT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000371160",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

Verify at the official NPI Registry.