Active NPI
Yvonne Theresa Young, RDE,CDN,BS
- Registered Dietitian
- Elmont, NY
National Provider Identifier
1629281324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 005041
- Practice address
- 185 Lincoln St
Elmont, NY 11003-2328 - Phone
- (516) 429-9577
- NPI assigned
- May 8, 2007
- Last updated
- Oct 17, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nutritionist | 133N00000X | 005041 | NY | |
| Nutrition Education Nutritionist | 133NN1002X | 005041 | NY | |
| Registered Dietitian | 133V00000X | 005041 | NY | Primary |
Addresses
Primary practice location
185 Lincoln St
Elmont, NY 11003-2328
Mailing address
185 Lincoln St
Elmont, NY 11003-2328
Phone (516) 429-9577
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005041 | NY | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Welllife Network Inc. | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Management Agency
- Coram, NY
- NPI 1386817906
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1192579200000",
"number": "1629281324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 LINCOLN ST",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032328",
"telephone_number": "516-429-9577"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "185 LINCOLN ST",
"city": "ELMONT",
"state": "NY",
"postal_code": "110032328",
"telephone_number": "516-429-9577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "YVONNE",
"middle_name": "THERESA",
"credential": "RDE,CDN,BS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-08",
"last_updated": "2007-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "133N00000X",
"taxonomy_group": "",
"desc": "Nutritionist",
"state": "NY",
"license": "005041",
"primary": false
},
{
"code": "133NN1002X",
"taxonomy_group": "",
"desc": "Nutritionist, Nutrition, Education",
"state": "NY",
"license": "005041",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NY",
"license": "005041",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.