Krishyon Young, IBCLC

Primary specialty

Lactation Consultant (Non-RN)Taxonomy code 174N00000X

License

L-307119 Issued in MA

Practice address

68 Oldham St
Pembroke, MA 02359-2524

Phone

(781) 964-5626

NPI assigned

Aug 12, 2022

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Flourish Collective Inc

  • Doula
  • Newport, RI
  • NPI 1982359527
  NPD (past)

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1649908005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 OLDHAM ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023592524",
            "telephone_number": "781-964-5626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 OLDHAM ST",
            "city": "PEMBROKE",
            "state": "MA",
            "postal_code": "023592524",
            "telephone_number": "781-964-5626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KRISHYON",
        "credential": "IBCLC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "MA",
            "license": "11261",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": "MA",
            "license": "L-307119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariella Williams
• Susan Michelle Wilson, LICSW
• Rebecca Wolongevicz, MS, OTR/L, CHT
• Nicole A. Wood, MD
• Amy L Young, RN
• Elizabeth Zaccardi, LICSW
• Shelby Zacher
• Gina Zarella, M.D.
• Theresa Zeoli
• Yingqi Zhang, NP

• Lactation Consultant (Non-RN) in Pembroke, MA
• Providers in Pembroke, MA by specialty
• Lactation Consultant (Non-RN) in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2022; 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.