Organization Active NPI

James B Young

  • Durable Medical Equipment & Medical Supplies
  • Auburn, WA
National Provider Identifier
1851400477
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
JAMES B YOUNG
Practice address
425 E Main St
Auburn, WA 98002-5504
Phone
(253) 333-8963
Fax
(253) 333-5063
NPI assigned
Aug 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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

Authorized official

Name
Mr. James Baugher Young
Title
Owner
Phone
(253) 333-8963

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X WA Primary

Addresses

Primary practice location

425 E Main St
Auburn, WA 98002-5504

Mailing address

425 E Main St
Auburn, WA 98002-5504
Phone (253) 333-8963

Other identifiers 3

IdentifierTypeStateIssuer
82-00983OtherWAEVERCARE
9048141MedicaidWA
9058322MedicaidWA

Other names 1

  • homedical Doing business as

National Provider Directory

National Provider Directory

Locations

425 E Main St
Auburn, WA 98002
Phone (253) 333-8963

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1851400477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 E MAIN ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025504",
            "telephone_number": "253-333-8963",
            "fax_number": "253-333-5063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 E MAIN ST",
            "city": "AUBURN",
            "state": "WA",
            "postal_code": "980025504",
            "telephone_number": "253-333-8963",
            "fax_number": "253-333-5063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES B YOUNG",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BAUGHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "253-333-8963",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE",
            "identifier": "82-00983",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9048141",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9058322",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "homedical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Auburn, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.