Active NPI
Joshua Youngblood, FNP-C
- Family Nurse Practitioner
- Beaumont, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP129498
- Practice address
- 2830 Calder St
Beaumont, TX 77702-1809 - Phone
- (409) 892-7171
- NPI assigned
- Oct 27, 2015
- Last updated
- Jan 24, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP129498 | TX | Primary |
Addresses
Primary practice location
2830 Calder St
Beaumont, TX 77702-1809
Mailing address
655 S Main St
Lumberton, TX 77657-7378
Phone (409) 227-4084
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
655 S Main St
Lumberton, TX 77657-7378
Phone (409) 227-4084
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP129498 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jasper Emergency Medicine Associates PA | Current | Accepting new patients | |
| Jefferson Emergency Medicine Associates PA | Current | Accepting new patients | |
| Sound Physicians Emergency Medicine of Texas PLLC | Current | Accepting new patients | |
| Hardin County Urgent Care PLLC | Current | Accepting new patients | |
| Southeast Emergency Medicine Associates, PA | Current | Accepting new patients |
Locations
2830 Calder St
Beaumont, TX 77702
Phone (409) 899-7000
1275 Marvin Hancock Dr
Jasper, TX 75951
Phone (409) 384-1951
655 S Main St
Lumberton, TX 77657
Phone (409) 227-4084
3600 Gates Blvd
Port Arthur, TX 77642
Phone (409) 985-7431
8801 9th Ave
Port Arthur, TX 77642
Phone (409) 724-3600
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hardin County Urgent Care
- Urgent Care Clinic/Center
- Lumberton, TX
- NPI 1639799984
-
- Emergency Medicine Physician
- Killeen, TX
- NPI 1518475557
-
- Emergency Medicine Physician
- Jasper, TX
- NPI 1346442746
-
- Emergency Medicine Physician
- Beaumont, TX
- NPI 1497966949
-
- Emergency Medicine Physician
- Port Arthur, TX
- NPI 1831781491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674518400000",
"number": "1831561075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 S MAIN ST",
"city": "LUMBERTON",
"state": "TX",
"postal_code": "776577378",
"telephone_number": "409-227-4084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2830 CALDER ST",
"city": "BEAUMONT",
"state": "TX",
"postal_code": "777021809",
"telephone_number": "409-892-7171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGBLOOD",
"first_name": "JOSHUA",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-10-27",
"last_updated": "2023-01-24",
"certification_date": "2023-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP129498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaumont, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.