Individual provider Active NPI

Kaitlin Diane Young, CNP

  • Acute Care Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1659222925
Registry record updated Feb 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
53180 Issued in NM
Practice address
5981 Jefferson St NE Ste a
Albuquerque, NM 87109-3457
Phone
(505) 370-9600
Fax
(505) 355-0566
NPI assigned
Feb 4, 2026
Last updated
Feb 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 53180 NM Primary

Addresses

Primary practice location

5981 Jefferson St NE Ste a
Albuquerque, NM 87109-3457

Mailing address

12844 Lomas Blvd NE Apt A5
Albuquerque, NM 87112-6250
Phone (505) 370-9600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Kidney Care, LLCGroup PAC ID 2860811262, 10 clinicians

Practice addresses (Care Compare)

5981 Jefferson St NE
Suite a
Albuquerque, NM 87109-3457
Phone (505) 370-9600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53180NMMDAcute Care Nurse Practitioner

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": "1770163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770163200000",
    "number": "1659222925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12844 LOMAS BLVD NE APT A5",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871126250",
            "telephone_number": "505-370-9600",
            "fax_number": "505-355-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5981 JEFFERSON ST NE STE A",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871093457",
            "telephone_number": "505-370-9600",
            "fax_number": "505-355-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KAITLIN",
        "middle_name": "DIANE",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-02-04",
        "last_updated": "2026-02-04",
        "certification_date": "2026-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NM",
            "license": "53180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.