Active NPI
Gwen Young, ARNP
- Occupational Health Nurse Practitioner
- Miami, FL
National Provider Identifier
1780863472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Health Nurse Practitioner
- License
- 1152282
- Practice address
- 8940 N Kendall Dr
202 East
Miami, FL 33176-2148 - Phone
- (786) 596-5942
- Fax
- (786) 596-0673
- NPI assigned
- Oct 30, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Health Nurse Practitioner | 363LX0106X | 1152282 | FL | Primary |
Addresses
Primary practice location
8940 N Kendall Dr
202 East
Miami, FL 33176-2148
Mailing address
9610 SW 78TH St
Miami, FL 33173-3319
Phone (786) 596-5942
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1152282 | FL | MD | Occupational Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193702400000",
"number": "1780863472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9610 SW 78TH ST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331733319",
"telephone_number": "786-596-5942",
"fax_number": "786-596-0673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8940 N KENDALL DR",
"address_2": "202 EAST",
"city": "MIAMI",
"state": "FL",
"postal_code": "331762148",
"telephone_number": "786-596-5942",
"fax_number": "786-596-0673"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "GWEN",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-30",
"last_updated": "2007-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LX0106X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Occupational Health",
"state": "FL",
"license": "1152282",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.