Individual provider Active NPI

Tamara Youngs, BSN, RN, CWOCN

  • Wound Care Registered Nurse
  • Hamilton, NY
National Provider Identifier
1730908245
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
2005468138 Issued in NY
Practice address
150 Broad St
Hamilton, NY 13346-9518
Phone
(315) 824-7049
NPI assigned
Oct 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X 2005468138 NY Primary
Registered Nurse 163W00000X 689457 NY
Continence Care Registered Nurse 163WC2100X 2005468138 NY
Ostomy Care Registered Nurse 163WX1500X 2005468138 NY

Addresses

Primary practice location

150 Broad St
Hamilton, NY 13346-9518

Mailing address

1676 Poolville Hubbardsville Rd
Hamilton, NY 13346-2420
Phone (520) 392-9474

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
689457NYMDRegistered Nurse
2005468138NYMDWound Care Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital CurrentSince Dec 13, 2024 Accepting new patients
Community Memorial Hospital CurrentSince Dec 13, 2024 Accepting new patients
Community Memorial Hospital Current Accepting new patients

Locations

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1730908245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1676 POOLVILLE HUBBARDSVILLE RD",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133462420",
            "telephone_number": "520-392-9474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 BROAD ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133469518",
            "telephone_number": "315-824-7049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGS",
        "first_name": "TAMARA",
        "credential": "BSN, RN, CWOCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "NY",
            "license": "2005468138",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "689457",
            "primary": false
        },
        {
            "code": "163WC2100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Continence Care",
            "state": "NY",
            "license": "2005468138",
            "primary": false
        },
        {
            "code": "163WX1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ostomy Care",
            "state": "NY",
            "license": "2005468138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NY

Sources for this page

Verify at the official NPI Registry.