Amy Lynn Youngblood, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

893651 Issued in TN

Practice address

804 N Parkway
Jackson, TN 38305-3058

Phone

(731) 423-3020

NPI assigned

Apr 26, 2007

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

State licenses

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639399538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 RACHEL DR APT 14",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383058620",
            "telephone_number": "731-445-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 N PARKWAY",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383053058",
            "telephone_number": "731-423-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGBLOOD",
        "first_name": "AMY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "R.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "893651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey W Young, APN
• Jordan Leigh Young, SLP
• Nelda Young Young, PHARMACIST
• Robert Steven Young Sr., D.PH.
• Stephanie J Young, MSN, APRN, NP-C
• Anna K Younger, APRN
• Andrew Yousef, MD
• Paige Yousef
• Lynne D Zager, PH.D.
• Chad M Zawacki, PA-C

• Registered Dietitian in Jackson, TN
• Providers in Jackson, TN by specialty
• Registered Dietitian in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.