Active NPI
Wendi D Young, CRNA
- Certified Registered Nurse Anesthetist
- Mooresville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 6015
- Practice address
- 146 Medical Park Rd Ste 108
Mooresville, NC 28117-8529 - Phone
- (704) 662-0877
- Fax
- (046) 662-0875
- NPI assigned
- Mar 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 6015 | NC | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 308964 | NC | |
| Certified Registered Nurse Anesthetist | 367500000X | 9265693 | FL |
Addresses
Primary practice location
146 Medical Park Rd Ste 108
Mooresville, NC 28117-8529
Mailing address
146 Medical Park Rd Ste 108
Mooresville, NC 28117-8529
Phone (704) 662-0877
Other practice location 1
1 Tampa General Cir
Suite A327
Tampa, FL 33606-3571
Phone (813) 844-4434
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 890200H | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9265693 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allcare Clinical Associates PA | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Gateway Anesthesia LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Allcare Clinical Associates, PA | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Providence Anesthesiology Associates, P.a. | Current | Accepting new patients | |
| Alta Anesthesia Associates of Georgia, PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Gulf-to-Bay Anesthesiology Associates LLC | Past | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
34 Granby St
Asheville, NC 28801
Phone (828) 225-0861
131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101
2825 Randolph Rd
Charlotte, NC 28211
Phone (704) 377-1647
3621 Randolph Rd
Charlotte, NC 28211
Phone (704) 206-8800
1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810
1025 NE Gateway Ct NE
Concord, NC 28025
Phone (704) 920-7020
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
Organizations & group practices 7
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.
-
- Certified Registered Nurse Anesthetist
- Asheville, NC
- NPI 1437286291
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Concord, NC
- NPI 1548401789
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Charlotte, NC
- NPI 1396739884
-
- Anesthesiology Physician
- Asheville, NC
- NPI 1144259961
-
- Anesthesiology Physician
- Brunswick, GA
- NPI 1275504771
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1598227200000",
"number": "1760653570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "146 MEDICAL PARK RD STE 108",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178529",
"telephone_number": "704-662-0877",
"fax_number": "046-662-0875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "146 MEDICAL PARK RD STE 108",
"city": "MOORESVILLE",
"state": "NC",
"postal_code": "281178529",
"telephone_number": "704-662-0877",
"fax_number": "046-662-0875"
}
],
"practiceLocations": [
{
"address_1": "1 Tampa General Cir",
"address_2": "Suite A327",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336063571",
"country_code": "US",
"telephone_number": "813-844-4434",
"fax_number": "813-844-4972",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "WENDI",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-19",
"last_updated": "2020-08-24",
"certification_date": "2020-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "6015",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "308964",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "9265693",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "890200H",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mooresville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.