Individual provider Active NPI

Jamie Lynne Young, FNP-C

  • Family Nurse Practitioner
  • Oro Valley, AZ
National Provider Identifier
1801225073
Registry record updated Jan 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP5300 Issued in AZ
Practice address
1866 E Innovation Park Dr
Oro Valley, AZ 85755-1963
Phone
(520) 825-2520
NPI assigned
Nov 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2015

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 AP5300 AZ Primary

Addresses

Primary practice location

1866 E Innovation Park Dr
Oro Valley, AZ 85755-1963

Mailing address

1866 E Innovation Park Dr
Oro Valley, AZ 85755-1963
Phone (520) 825-2520

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140206000941 AZ Practitioner - Nurse Practitioner 3577792910 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1075 E Fort Lowell Rd
Tucson, AZ 85719-2159
Phone (520) 202-1960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Codac Health Recovery and Wellness CurrentSince Oct 23, 2023 Accepting new patients
Codac Health Recovery and Wellness CurrentSince Oct 23, 2023 Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

380 E Fort Lowell Rd
Tucson, AZ 85705
Phone (520) 202-1786

1075 E Fort Lowell Rd
Tucson, AZ 85719
Phone (520) 202-1960

4585 E Speedway Blvd
Tucson, AZ 85712
Phone (520) 319-3359

Interoperability endpoints

  • Direct secure messaging: jamie.young@mmcodachrw.contexture.medalliesmail.com

Organizations & group practices 3

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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421884800000",
    "number": "1801225073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1866 E INNOVATION PARK DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551963",
            "telephone_number": "520-825-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1866 E INNOVATION PARK DR",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857551963",
            "telephone_number": "520-825-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JAMIE",
        "middle_name": "LYNNE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-07",
        "last_updated": "2015-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP5300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.