Active NPI
Darla Jan Young I, MSN, NPC
- Nurse Practitioner
- Princeton, IN
National Provider Identifier
1710171020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71000196A
- Practice address
- 410 N Main St
Princeton, IN 47670-1561 - Phone
- (812) 386-7522
- NPI assigned
- Aug 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71000196A | IN | Primary |
Addresses
Primary practice location
410 N Main St
Princeton, IN 47670-1561
Mailing address
410 N Main St
Princeton, IN 47670-1561
Phone (812) 386-7522
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71000196A | Other | IN | STATE LICENSE |
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
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71000196A | IN | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1188345600000",
"number": "1710171020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "410 N MAIN ST",
"city": "PRINCETON",
"state": "IN",
"postal_code": "476701561",
"telephone_number": "812-386-7522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 N MAIN ST",
"city": "PRINCETON",
"state": "IN",
"postal_code": "476701561",
"telephone_number": "812-386-7522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "DARLA",
"middle_name": "JAN",
"name_prefix": "Mrs.",
"name_suffix": "I",
"credential": "MSN, NPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-29",
"last_updated": "2007-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71000196A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "71000196A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Princeton, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.