Individual provider Active NPI

Danielle Young, CMA

  • Home Health Agency
  • Birmingham, AL
National Provider Identifier
1639533219
Registry record updated May 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
14019600 Issued in AL
Practice address
1678 Montgomery Hwy
Suite 104-337
Birmingham, AL 35216-4914
Phone
(800) 293-3972
Fax
(205) 506-4717
NPI assigned
Apr 8, 2016
Last updated
May 13, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X 14019600 AL
Home Health Agency 251E00000X 14019600 AL Primary
Community Based Hospice Care Agency 251G00000X 14019600 AL
Nursing Care Agency 251J00000X 14019600 AL
In Home Supportive Care Agency 253Z00000X 14019600 AL

Addresses

Primary practice location

1678 Montgomery Hwy
Suite 104-337
Birmingham, AL 35216-4914

Mailing address

1678 Montgomery Hwy
Suite 104-337
Birmingham, AL 35216-4914
Phone (800) 293-3972

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
Credentials
Certified Medical Assistant

State licenses

LicenseStateTypeSpecialty
14019600ALMDHome Health Agency

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.

NPI Registry JSON

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

{
    "created_epoch": "1460073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463097600000",
    "number": "1639533219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1678 MONTGOMERY HWY",
            "address_2": "SUITE 104-337",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164914",
            "telephone_number": "800-293-3972",
            "fax_number": "205-506-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1678 MONTGOMERY HWY",
            "address_2": "SUITE 104-337",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352164914",
            "telephone_number": "800-293-3972",
            "fax_number": "205-506-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DANIELLE",
        "credential": "CMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-08",
        "last_updated": "2016-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "AL",
            "license": "14019600",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "AL",
            "license": "14019600",
            "primary": true
        },
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "AL",
            "license": "14019600",
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "AL",
            "license": "14019600",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "AL",
            "license": "14019600",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2016; 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.