Individual provider Active NPI

Kimberlee Pippenger Young, M.D.

  • Family Medicine Physician
  • Carlisle, PA
National Provider Identifier
1689657462
Registry record updated Jan 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD062670L Issued in PA
Practice address
450 Gibner Rd
Dunham US Army Health Clinic
Carlisle, PA 17013-5003
Phone
(717) 245-3187
Fax
(717) 245-3880
NPI assigned
Nov 25, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD062670L PA Primary

Addresses

Primary practice location

450 Gibner Rd
Dunham US Army Health Clinic
Carlisle, PA 17013-5003

Mailing address

3600 Golfview Dr
Mechanicsburg, PA 17050-2216
Phone (717) 245-3187

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130207000259 PA Order and Referring Only - Family PracticePractitioner - Family Practice 0840470829

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1689657462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 GOLFVIEW DR",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170502216",
            "telephone_number": "717-245-3187",
            "fax_number": "717-245-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 GIBNER RD",
            "address_2": "DUNHAM US ARMY HEALTH CLINIC",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170135003",
            "telephone_number": "717-245-3187",
            "fax_number": "717-245-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KIMBERLEE",
        "middle_name": "PIPPENGER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-25",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD062670L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.