Kyish R Young

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

5324 Hollyridge St
North Las Vegas, NV 89081-4000

Phone

(510) 798-8205

NPI assigned

Mar 4, 2019

Sex

Male

Sole proprietor

No

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)

Not enrolled

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

{
    "created_epoch": "1551657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551657600000",
    "number": "1730647223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5324 HOLLYRIDGE ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890814000",
            "telephone_number": "510-798-8205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5324 HOLLYRIDGE ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890814000",
            "telephone_number": "510-798-8205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KYISH",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-04",
        "last_updated": "2019-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Young
• Breonna Janea Young
• Denise Young
• Katrina R Young
• Kenya Young
• Lamonda Young
• Mychel Young
• Shania Joli Young
• Shavonnda Lynn Young
• Steve Joseph Clark Young

• Attendant Care Provider in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Attendant Care Provider in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2019; 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.