Individual provider Active NPI

Kaylynn C Young, PA

  • Medical Physician Assistant
  • Dallas, TX
National Provider Identifier
1750374203
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA04252 Issued in TX
Practice address
17110 Dallas Pkwy
#100
Dallas, TX 75248-1167
Phone
(972) 380-7000
Fax
(972) 380-9266
NPI assigned
Aug 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA04252 TX Primary

Addresses

Primary practice location

17110 Dallas Pkwy
#100
Dallas, TX 75248-1167

Mailing address

17110 Dallas Pkwy
#100
Dallas, TX 75248-1167
Phone (972) 380-7000

Other names 1

  • Kaylynn C Snodgrass Former name

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA04252TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Newborn Services, Inc. PastSince Dec 1, 2012 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kaylynn.young.1@21606.direct.athenahealth.com

Organizations & group practices 1

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1750374203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17110 DALLAS PKWY",
            "address_2": "#100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481167",
            "telephone_number": "972-380-7000",
            "fax_number": "972-380-9266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17110 DALLAS PKWY",
            "address_2": "#100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752481167",
            "telephone_number": "972-380-7000",
            "fax_number": "972-380-9266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KAYLYNN",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-30",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA04252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLYNN",
            "last_name": "SNODGRASS",
            "middle_name": "C",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.