Individual provider Active NPI

Victoria Rhett Young

  • Prosthetics Case Management
  • Columbia, SC
National Provider Identifier
1619684610
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
71136 Issued in SC
Practice address
213 Bent Bough Cir
Columbia, SC 29212-2303
Phone
(803) 467-5520
NPI assigned
Oct 31, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 71136 SC Primary

Addresses

Primary practice location

213 Bent Bough Cir
Columbia, SC 29212-2303

Mailing address

213 Bent Bough Cir
Columbia, SC 29212-2303
Phone (803) 467-5520

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL blackberry Other

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

State licenses

LicenseStateTypeSpecialty
71136SCMDProsthetics Case Management

NPI Registry JSON

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1619684610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 BENT BOUGH CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122303",
            "telephone_number": "803-467-5520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 BENT BOUGH CIR",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292122303",
            "telephone_number": "803-467-5520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "VICTORIA",
        "middle_name": "RHETT",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-31",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "SC",
            "license": "71136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "blackberry",
            "affiliation": "N",
            "endpointDescription": "client medical records",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "client medical records",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "client medical records",
            "address_1": "213 Bent Bough Cir",
            "city": "Columbia",
            "state": "SC",
            "country_code": "US",
            "postal_code": "292122303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.