Individual provider Active NPI

Joshua Youngblood, FNP-C

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1831561075
Registry record updated Jan 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129498 Issued in TX
Practice address
2830 Calder St
Beaumont, TX 77702-1809
Phone
(409) 892-7171
NPI assigned
Oct 27, 2015
Last updated
Jan 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160114001097 TX Practitioner - Nurse Practitioner 3375846983 Reassigns benefits to 2 organizations

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
Hardin County Urgent Care PLLCGroup PAC ID 1153736657, 5 clinicians

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

LicenseStateTypeSpecialty
AP129498TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jasper Emergency Medicine Associates PA CurrentSince May 4, 2021 Accepting new patients
Jefferson Emergency Medicine Associates PA CurrentSince Apr 19, 2021 Accepting new patients
Sound Physicians Emergency Medicine of Texas PLLC CurrentSince Feb 15, 2018 Accepting new patients
Hardin County Urgent Care PLLC CurrentSince Oct 1, 2021 Accepting new patients
Southeast Emergency Medicine Associates, PA CurrentSince Apr 20, 2021 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.

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

Verify at the official NPI Registry.