Individual provider Active NPI

Crystal Kay Young, CRNP-F

  • Family Nurse Practitioner
  • Arlington, VA
National Provider Identifier
1821580044
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024178861 Issued in VA
Practice address
1101 Wilson Blvd FL 6
Arlington, VA 22209-2281
Phone
(888) 731-8994
NPI assigned
Jun 4, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178861 VA Primary
Family Nurse Practitioner 363LF0000X R199247 MD

Addresses

Primary practice location

1101 Wilson Blvd FL 6
Arlington, VA 22209-2281

Mailing address

PO Box 105
Keedysville, MD 21756-0105
Phone (301) 660-7244

Other practice location 1

173 Saint Patricks Dr Ste 104
Waldorf, MD 20603-5530
Phone (888) 731-8994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20180808003595 MD Practitioner - Nurse Practitioner 8022366988 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R199247MDMDFamily Nurse Practitioner
0024178861VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Malik & Qadir MD PA CurrentSince Jul 1, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

20311 Lappans Rd
Ste 100
Boonsboro, MD 21713
Phone (301) 432-8470

Interoperability endpoints

  • Direct secure messaging: crystal.young.1@29536.direct.athenahealth.com

Organizations & group practices 2

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": "1528070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1821580044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 105",
            "city": "KEEDYSVILLE",
            "state": "MD",
            "postal_code": "217560105",
            "telephone_number": "301-660-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WILSON BLVD FL 6",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222092281",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "173 Saint Patricks Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Waldorf",
            "state": "MD",
            "postal_code": "206035530",
            "country_code": "US",
            "telephone_number": "888-731-8994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CRYSTAL",
        "middle_name": "KAY",
        "credential": "CRNP-F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-04",
        "last_updated": "2024-12-03",
        "certification_date": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178861",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R199247",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, VA

Sources for this page

Verify at the official NPI Registry.