Brandi Yvonne Young, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

109465 Issued in OH

Practice address

18613 Harlan Dr
Maple Heights, OH 44137-2235

Phone

(216) 587-6863

NPI assigned

Jan 10, 2008

Last updated

Apr 20, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Brandi Yvonne Young-Roach Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461110400000",
    "number": "1720264567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13634 CARPENTER RD",
            "city": "CLEVE.",
            "state": "OH",
            "postal_code": "44125",
            "telephone_number": "216-856-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18613 HARLAN DR",
            "city": "MAPLE HEIGHTS",
            "state": "OH",
            "postal_code": "441372235",
            "telephone_number": "216-587-6863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BRANDI",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-10",
        "last_updated": "2016-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "109465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BRANDI",
            "last_name": "YOUNG-ROACH",
            "middle_name": "YVONNE",
            "prefix": "MRS.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lisa Wyzykowski
• Xo Home Care
• Y.E.N.O.M Foundation
• Patricia Yniguez
• Yolanda Gott
• Brandon Young
• Shakia Lanany Young
• Elliot Zeaman, D.D.S.
• Wenning Zhao, DC R ACUPUNCTURIST
• Zumi Nursing LLC

• Licensed Practical Nurse in Maple Heights, OH
• Providers in Maple Heights, OH by specialty
• Licensed Practical Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2016; 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.