Individual provider Active NPI

Jill Ann Young, AUD

  • Audiologist
  • Little Rock, AR
National Provider Identifier
1811080070
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
203311 Issued in AR
Practice address
11525 Cantrell Rd Ste 407
Little Rock, AR 72212-1715
Phone
(501) 904-1194
NPI assigned
Oct 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 203311 AR Primary

Addresses

Primary practice location

11525 Cantrell Rd Ste 407
Little Rock, AR 72212-1715

Mailing address

11525 Cantrell Rd Ste 407
Little Rock, AR 72212-1715
Phone (501) 904-1194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20110324000578 DC Practitioner - Qualified Audiologist 3375726615 Reassigns benefits to 1 organization
I20250130000755 VA Practitioner - Qualified Audiologist 3375726615 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
203311ARMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Hearing Services, Inc Audiologist-Hearing Aid Fitter CurrentSince Mar 24, 2024 Accepting new patients

Locations

14102 Sullyfield Cir
Ste 2700
Chantilly, VA 20151
Phone (703) 291-9053

211 Gibson St NW
Ste 202
Leesburg, VA 20176
Phone (703) 737-7707

Organizations & group practices 1

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770768000000",
    "number": "1811080070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11525 CANTRELL RD STE 407",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722121715",
            "telephone_number": "501-904-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11525 CANTRELL RD STE 407",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722121715",
            "telephone_number": "501-904-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JILL",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "AR",
            "license": "203311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.

Verify at the official NPI Registry.