Young Men'S Christian Association of Metropolitan Milwaukee, Inc.

Primary specialty

Health EducatorTaxonomy code 174H00000X

Legal business name

YOUNG MEN'S CHRISTIAN ASSOCIATION OF METROPOLITAN MILWAUKEE, INC.

Practice address

161 West Wisconsin Avenue, Suite 4000
Milwaukee, WI 53203-2601

Phone

(414) 224-9622

Fax

(414) 224-3323

NPI assigned

Jun 6, 2018

Organization subpart

No

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

Authorized official

Name

Ms. Carrie Wall

Title

President/Ceo

Phone

(414) 274-0711

Specialties & licenses 1

Addresses

Other names 1

• YMCA of Metropolitan Milwaukee Doing business as

Locations

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528243200000",
    "number": "1679065593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 WEST WISCONSIN AVE. SUITE 4000",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532032601",
            "telephone_number": "414-224-9622",
            "fax_number": "414-224-3323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 WEST WISCONSIN AVENUE, SUITE 4000",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532032601",
            "telephone_number": "414-224-9622",
            "fax_number": "414-224-3323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MEN'S CHRISTIAN ASSOCIATION OF METROPOLITAN MILWAUKEE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "414-274-0711",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "YMCA of Metropolitan Milwaukee",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Young Visions Home Care Services LLC
• Caleb Samuel Young, APNP
• Courtney A Young, PA-C
• Craig C Young, MD
• Cristina Young, MD

• Health Educator in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Health Educator in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.