Natashia Young

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

314358 Issued in NY

Practice address

137 Alpine Dr Apt 2
De Witt, NY 13214-1137

Phone

(315) 863-7820

NPI assigned

Jun 17, 2014

Last updated

Jun 17, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Natashia Davis Other name

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402963200000",
    "number": "1790199800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 ALPINE DR APT 2",
            "city": "DE WITT",
            "state": "NY",
            "postal_code": "132141137",
            "telephone_number": "315-863-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "137 ALPINE DR APT 2",
            "city": "DE WITT",
            "state": "NY",
            "postal_code": "132141137",
            "telephone_number": "315-863-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "NATASHIA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "314358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NATASHIA",
            "last_name": "DAVIS",
            "prefix": "MRS.",
            "credential": "NATASHIA DAVIS LPN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amy Vasquez
• I. Michael Vella, M.D.
• Mitchell Barry Wilson, DMD
• Xiaomin Wu, O.D
• Warren E Wulff, M.D.

• Licensed Practical Nurse in De Witt, NY
• Providers in De Witt, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2014; 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.