Individual provider Active NPI

Paula Lee McNeil Young, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Glenwood Springs, CO
National Provider Identifier
1669182598
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APN.0998167-NP Issued in CO
Practice address
2802 Grand Ave
Glenwood Springs, CO 81601-4428
Phone
(970) 945-2583
Fax
(970) 928-8852
NPI assigned
Dec 1, 2022
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X APN.0998167-NP CO Primary

Addresses

Primary practice location

2802 Grand Ave
Glenwood Springs, CO 81601-4428

Mailing address

515 28 3/4 Rd
Grand Junction, CO 81501-5016
Phone (970) 683-7223

Other identifiers 3

IdentifierTypeStateIssuer
RXN.0107178-NPOtherCOCO DEPARTMENT OF REGULATORY AGENCIES; DIVISION OF PROFESSIONS AND OCCUPATIONS
RN.0168095OtherCOCO DEPARTMENT OF REGULATORY AGENCIES; DIVISION OF PROFESSIONS AND OCCUPATIONS
APN.0998167-NPOtherCOCO DEPARTMENT OF REGULATORY AGENCIES; DIVISION OF PROFESSIONS AND OCCUPATIONS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pyoung@mindspringshealth.org Health Information Exchange (HIE)

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)
Enrolled
Credentials
Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1669852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669182598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 28 3/4 RD",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815015016",
            "telephone_number": "970-683-7223",
            "fax_number": "970-683-7160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 GRAND AVE",
            "city": "GLENWOOD SPRINGS",
            "state": "CO",
            "postal_code": "816014428",
            "telephone_number": "970-945-2583",
            "fax_number": "970-928-8852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "PAULA",
        "middle_name": "LEE MCNEIL",
        "credential": "PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-01",
        "last_updated": "2023-03-07",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "APN.0998167-NP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO DEPARTMENT OF REGULATORY AGENCIES; DIVISION OF PROFESSIONS AND OCCUPATIONS",
            "identifier": "RXN.0107178-NP",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO DEPARTMENT OF REGULATORY AGENCIES; DIVISION OF PROFESSIONS AND OCCUPATIONS",
            "identifier": "RN.0168095",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CO DEPARTMENT OF REGULATORY AGENCIES; DIVISION OF PROFESSIONS AND OCCUPATIONS",
            "identifier": "APN.0998167-NP",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pyoung@mindspringshealth.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2802 Grand Ave",
            "city": "Glenwood Springs",
            "state": "CO",
            "country_code": "US",
            "postal_code": "816014428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glenwood Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.