Carlyn R Young

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D-1545 Issued in ID

Practice address

377 Johnny Long Rd
Sandpoint, ID 83864-7383

Phone

(541) 241-6619

NPI assigned

Oct 14, 2014

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1413244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1740684109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 SW 13TH ST",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977023206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 JOHNNY LONG RD",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838647383",
            "telephone_number": "541-241-6619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CARLYN",
        "middle_name": "R",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-14",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "273357192",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D-1545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Woolson, PHARMD
• World Is Round PLLC
• Kendall Anne Yake, PHARMD
• Amanda F Yoder, LMT
• Emily Marie York, CPM
• Michelle M Young, LMT
• Jessica Youngs, L.AC.
• Your Family Counseling Center, LLC
• Paul Zarodkiewicz, LMSW
• Kelly Jeanne Zehr, LCSW

• Registered Dietitian in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; 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.