Rebecca Young, DNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

14187-33 Issued in WI

Practice address

8375 S Howell Ave
Oak Creek, WI 53154-8344

Phone

(414) 764-5726

NPI assigned

Jul 7, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: rhuss50655@direct.chw.org

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.

• Children'S Medical Group

  • Pediatrics Physician
  • Glendale, WI
  • NPI 1134394471
  NPD (past)
• Children'S Medical Group

  • Pediatrics Physician
  • Kenosha, WI
  • NPI 1427223783
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729641600000",
    "number": "1801574157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4070 S LAKE DR UNIT 10",
            "city": "SAINT FRANCIS",
            "state": "WI",
            "postal_code": "532355258",
            "telephone_number": "920-716-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8375 S HOWELL AVE",
            "city": "OAK CREEK",
            "state": "WI",
            "postal_code": "531548344",
            "telephone_number": "414-764-5726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7322 W Rawson Ave",
            "address_purpose": "LOCATION",
            "city": "Franklin",
            "state": "WI",
            "postal_code": "531328117",
            "country_code": "US",
            "telephone_number": "414-433-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3365 S 103rd St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532274162",
            "country_code": "US",
            "telephone_number": "414-321-3951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6809 122nd Ave",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531427335",
            "country_code": "US",
            "telephone_number": "262-654-8633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8600 75th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Kenosha",
            "state": "WI",
            "postal_code": "531428200",
            "country_code": "US",
            "telephone_number": "262-652-9430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "REBECCA",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2024-10-23",
        "certification_date": "2024-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WI",
            "license": "14187-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Nurse Practitioner in Oak Creek, WI
• Providers in Oak Creek, WI by specialty
• Pediatric Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.