Active NPI
Tracy P Young, CRNA
- Certified Registered Nurse Anesthetist
- New Iberia, LA
National Provider Identifier
1629036785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN085074
- Practice address
- 1100 Andre St Ste 300
Yps Anesthesia
New Iberia, LA 70563-2159 - Phone
- (337) 364-9225
- Fax
- (337) 364-6094
- NPI assigned
- May 1, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN085074 | LA | Primary |
Addresses
Primary practice location
1100 Andre St Ste 300
Yps Anesthesia
New Iberia, LA 70563-2159
Mailing address
PO Box 20452
Yps-Cred
Columbus, OH 43220-0452
Phone (614) 442-2406
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1111155 | Medicaid | LA | |
| 8082UU | Other | TX | BCBS TX |
| 198748905 | Medicaid | TX | |
| 1629036785 | Other | LA | BCBS LA |
| 198748902 | Medicaid | TX |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yps Healthcare LLC | Past | Accepting new patients | |
| Graham Anesthesia Services LLC | Past | Accepting new patients | |
| Mid-Louisiana Anesthesia Consultants, Apmc | Past | Accepting new patients | |
| Jorge J Bravo MD a Professional Corporation | Past | Accepting new patients | |
| South Louisiana Anesthesiology Associates Inc | Past | Accepting new patients | |
| DRS Burleigh, Dupleix and Rees | Past | Accepting new patients | |
| Willis Knighton Medical Center Inc. Crna Group | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Lafayette, LA
- NPI 1659368694
-
- Anesthesiology Physician
- Morgan City, LA
- NPI 1801849393
-
- Anesthesiology Physician
- Thibodaux, LA
- NPI 1801804646
-
- Anesthesiology Physician
- Alexandria, LA
- NPI 1205888914
-
- Anesthesiology Physician
- New Iberia, LA
- NPI 1538193719
-
- Anesthesiology Physician
- Shreveport, LA
- NPI 1174546097
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- New Iberia, LA
- NPI 1538578216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371168000000",
"number": "1629036785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 20452",
"address_2": "YPS-CRED",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432200452",
"telephone_number": "614-442-2406",
"fax_number": "614-442-2410"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 ANDRE ST STE 300",
"address_2": "YPS ANESTHESIA",
"city": "NEW IBERIA",
"state": "LA",
"postal_code": "705632159",
"telephone_number": "337-364-9225",
"fax_number": "337-364-6094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "TRACY",
"middle_name": "P",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2013-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "LA",
"license": "RN085074",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1111155",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TX",
"identifier": "8082UU",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "198748905",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS LA",
"identifier": "1629036785",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "198748902",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New Iberia, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.