Individual provider Active NPI

Christine Young-Green, DNP, FNP, NP-C

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1760016463
Registry record updated Jan 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009853A Issued in IN
Practice address
5005 E Stop 11 Rd
Indianapolis, IN 46237-9447
Phone
(317) 881-8119
NPI assigned
Mar 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71009853A IN Primary

Addresses

Primary practice location

5005 E Stop 11 Rd
Indianapolis, IN 46237-9447

Mailing address

5005 E Stop 11 Rd
Indianapolis, IN 46237-9447
Phone (317) 881-8119

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
71009853AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apollo Wellness Group LLC CurrentSince Apr 26, 2020 Accepting new patients
Back to Health LLC CurrentSince Mar 9, 2020 Accepting new patients

Locations

5005 E Stop 11 Rd
Indianapolis, IN 46237
Phone (317) 865-1450

Organizations & group practices 2

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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1760016463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 E STOP 11 RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379447",
            "telephone_number": "317-881-8119",
            "fax_number": "317-881-8585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5005 E STOP 11 RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379447",
            "telephone_number": "317-881-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG-GREEN",
        "first_name": "CHRISTINE",
        "credential": "DNP, FNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-03",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009853A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.