Vernita Reena Young, MA/ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1585 3Rd St
Fort Polk, LA 71459-5102

Phone

(931) 529-4617

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1619905759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 WINSTON DR",
            "address_2": "K-7",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385064607",
            "telephone_number": "931-529-4617",
            "fax_number": "931-525-6689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1585 3RD ST",
            "city": "FORT POLK",
            "state": "LA",
            "postal_code": "714595102",
            "telephone_number": "931-529-4617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "VERNITA",
        "middle_name": "REENA",
        "name_prefix": "Ms.",
        "credential": "MA/ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TN",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jonathan Brecken Wells, PHARM.D.
• Jeffery Alan White, D.O.
• Carly Elizabeth Williams
• Kaliq Williams
• Gordon Wilson Woollard, DDS MS
• Elvie NMN Zerangue Jr., MSW (LCSW), LAC
• Larry Zhang, DDS
• Carolynn L Zonia, D.O.

• Athletic Trainer in Fort Polk, LA
• Providers in Fort Polk, LA by specialty
• Athletic Trainer in Louisiana

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