Active NPI
Kathleen M. Young, RNC, NP
- Women's Health Nurse Practitioner
- Kalispell, MT
National Provider Identifier
1578588992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- APRN100189
- 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, 2022
- 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500026892 | Other | MT | RAILROAD MEDICARE |
| 4302547 | Medicaid | MT | |
| 000371160 | Other | MT | BCBS |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| APRN100189 | MT | MD | Women's Health Nurse Practitioner |
| RN13548 | MT | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Latter Foot Care LLC | Past | Accepting new patients | |
| Hidden Meadow Management LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba Hidden Meadow Memory Care
- Assisted Living Facility
- Columbia Falls, MT
- NPI 1780153700
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
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.