Lisa Marie Young, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN107507 Issued in AZ

Practice address

15150 W Mondell Rd
Surprise, AZ 85374-3434

Phone

(623) 876-7604

Fax

(623) 876-7605

NPI assigned

Apr 28, 2009

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

Registered Nurse

State licenses

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

{
    "created_epoch": "1240876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1240876800000",
    "number": "1629212188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14819 N 173RD LN",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853887833",
            "telephone_number": "623-584-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15150 W MONDELL RD",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853743434",
            "telephone_number": "623-876-7604",
            "fax_number": "623-876-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-28",
        "last_updated": "2009-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AZ",
            "license": "RN107507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Young Arizona Pediatrics LLC
• Brian Lawrence Young, M.D.
• Delores Dianne Young, LISAC
• Hannah Gabriel Young
• Lianna Young
• Antonio Villamor Yu Jr., MD
• Z Medicine LLC
• Nerissa Apostol Zafe, NP-C
• Emma Rose Zahner
• Syed Hassan Abbas Zaidi

• Registered Nurse in Surprise, AZ
• Providers in Surprise, AZ by specialty
• Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2009; 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.