Active NPI
Kimberly Collette Young, RNC MSN
- Obstetrics & Gynecology Nurse Practitioner
- Hermitage, TN
National Provider Identifier
1619936242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- APN0000006723
- Practice address
- 5651 Frist Blvd
Ste 201
Hermitage, TN 37076 - Phone
- (615) 391-0800
- Fax
- (615) 391-0431
- NPI assigned
- Mar 22, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | APN0000006723 | TN | Primary |
Addresses
Primary practice location
5651 Frist Blvd
Ste 201
Hermitage, TN 37076
Mailing address
603 Canterbury Trial
Mt Juliet, TN 37122
Phone (615) 758-3170
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
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000006723 | TN | MD | Obstetrics & Gynecology Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1619936242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "603 CANTERBURY TRIAL",
"city": "MT JULIET",
"state": "TN",
"postal_code": "37122",
"telephone_number": "615-758-3170"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5651 FRIST BLVD",
"address_2": "STE 201",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "37076",
"telephone_number": "615-391-0800",
"fax_number": "615-391-0431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "KIMBERLY",
"middle_name": "COLLETTE",
"credential": "RNC MSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "TN",
"license": "APN0000006723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.