Jessie Lyn Young, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH60908669 Issued in WA

Practice address

1910 Black Lake Blvd SW # 103
Olympia, WA 98512-5651

Phone

(360) 352-8112

Fax

(360) 570-0332

NPI assigned

Apr 28, 2010

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)

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.

• Family Chiropractic

  • Chiropractor
  • Tumwater, WA
  • NPI 1841354420
  NPD (past)
• Ronald Wilcox, DC Inc.

  • Chiropractor
  • Tumwater, WA
  • NPI 1083952915
  NPD (past)

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1669799755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 W RIVERSIDE AVE STE 1100",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992010302",
            "telephone_number": "360-819-9700",
            "fax_number": "360-570-0332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 BLACK LAKE BLVD SW # 103",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985125651",
            "telephone_number": "360-352-8112",
            "fax_number": "360-570-0332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JESSIE",
        "middle_name": "LYN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-28",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "WA",
            "license": "CH60908669",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH60908669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walker Yost, D.C.
• Fahad Younas, M.D.
• Beverly Young Reed, CPC
• James William Young, M.D.
• Jennifer Ann Young
• Joann Mitchell Young, LMCH
• Julia Young
• Monica Young, M.D.
• Nancy Young, A.R.N.P.
• Nicole Young

• Chiropractor in Olympia, WA
• Providers in Olympia, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; 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.