Tabitha Rena Young, APRN

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

72781 Issued in OK

Practice address

1011 N Broadway St
Poteau, OK 74953-2609

Phone

(918) 839-9699

NPI assigned

Sep 9, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Green Country Home Care, Inc Home health agency, Poteau, OK, CCN 377206
• Eastern Oklahoma Medical Center Hospital, Poteau, OK, CCN 371337

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Poteau Community Care

  • Rural Health Clinic/Center
  • Poteau, OK
  • NPI 1871108514
  Medicare reassignment NPD
• Dr. Steven B Stiles PA

  • Optometrist
  • Fort Smith, AR
  • NPI 1720705270
  NPD
• Leflore County Hospital Authority

  • Critical Access Hospital
  • Poteau, OK
  • NPI 1396767158
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Green Country Home Care, Inc.

  • Home Health Agency
  • McAlester, OK
  • NPI 1053423681
  Care Compare affiliation
• Leflore County Hospital Authority

  • Psychiatric Hospital Unit
  • Poteau, OK
  • NPI 1184997447
  Care Compare affiliation
• Leflore County Hospital Authority

  • Critical Access Hospital
  • Poteau, OK
  • NPI 1396767158
  Care Compare affiliation

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

{
    "created_epoch": "1599609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1649885443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 E DORA LN",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749535518",
            "telephone_number": "918-839-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N BROADWAY ST",
            "city": "POTEAU",
            "state": "OK",
            "postal_code": "749532609",
            "telephone_number": "918-839-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TABITHA",
        "middle_name": "RENA",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-09",
        "last_updated": "2020-10-25",
        "certification_date": "2020-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "200071",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "72781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bruce Wright, BS
• Jennifer Wright
• Linzy Ann Wylie, ASSOCIATE DEGREE
• Chad Aaron Yandell, PHARM D
• Kendra Hammond Yandell, D.D.S.

• Family Medicine Physician in Poteau, OK
• Providers in Poteau, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.