Active NPI
John Wesley Young Jr., DOCTOR OF SCIENCE
- Health & Wellness Coach
- Winchester, VA
National Provider Identifier
1851079727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 134 Cochise TRL
Winchester, VA 22602-1511 - Phone
- (202) 276-4206
- NPI assigned
- Jul 10, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
134 Cochise TRL
Winchester, VA 22602-1511
Mailing address
5510 Cherokee Ave
Ste 300 #1233
Alexandria, VA 22312
Phone (703) 822-5669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Zen Kaiaulu LLC | Health & Wellness Coach | Current | Accepting new patients |
| Zen Kasi, LLC | Health & Wellness Coach | Past | Accepting new patients |
Locations
200 N Vineyard Blvd
Ste A325222
Honolulu, HI 96817
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.
-
- Health & Wellness Coach
- Kailua Kona, HI
- NPI 1508733114
-
- Health & Wellness Coach
- Alexandria, VA
- NPI 1144908039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1688947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711238400000",
"number": "1851079727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5510 CHEROKEE AVE",
"address_2": "STE 300 #1233",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "22312",
"telephone_number": "703-822-5669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "134 COCHISE TRL",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226021511",
"telephone_number": "202-276-4206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JOHN",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "DOCTOR OF SCIENCE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-10",
"last_updated": "2024-03-24",
"certification_date": "2024-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winchester, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.