Tawanna Nicole Young, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1-104461 Issued in AL

Practice address

3050 Regent Blvd Ste 400
Irving, TX 75063-5808

Phone

(214) 689-8060

NPI assigned

Jul 11, 2011

Last updated

Jul 11, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1609164623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 CYPRESS ST",
            "city": "WEBB",
            "state": "AL",
            "postal_code": "363766375",
            "telephone_number": "334-790-1511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3050 REGENT BLVD STE 400",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635808",
            "telephone_number": "214-689-8060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TAWANNA",
        "middle_name": "NICOLE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "1-104461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Glenn York
• Young Men's Christian Association of Metropolitan Dallas (YMCA of Metropolitan Dallas)
• Denise Eady Young, FNP-BC
• John David Young, M.D.
• Samantha Tory Young, DMD
• Basil A Younis, MD
• Your Clinic
• Your Sleep Solution Center
• Aisheh Nihad Yousef, COTA/L
• Mohamed Hassan Anwar Youssef, MD

• Family Nurse Practitioner in Irving, TX
• Providers in Irving, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.

Verify at the official NPI Registry.