Individual provider Active NPI

Marjorie H Young, FNP

  • Family Nurse Practitioner
  • Pilot, VA
National Provider Identifier
1851773352
Registry record updated Sep 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0001097506 Issued in VA
Practice address
132 Dobbins Hollow Rd
Pilot, VA 24138-1630
Phone
(540) 382-0178
NPI assigned
Jun 22, 2015
Last updated
Sep 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 19, 2024

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 0001097506 VA Primary

Addresses

Primary practice location

132 Dobbins Hollow Rd
Pilot, VA 24138-1630

Mailing address

132 Dobbins Hollow Rd
Pilot, VA 24138-1630
Phone (540) 382-0178

Other practice location 1

100 Spradlin Farm Dr
Christiansburg, VA 24073-1161
Phone (540) 381-2745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170410001132 VA Practitioner - Nurse Practitioner 9931485703 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0001097506VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Virginia CurrentSince Jan 15, 2017 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince Jan 15, 2017 Accepting new patients

Locations

100 Spradlin Farm Dr
Christiansburg, VA 24073
Phone (540) 381-2745

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

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, 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": "1434931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726704000000",
    "number": "1851773352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 DOBBINS HOLLOW RD",
            "city": "PILOT",
            "state": "VA",
            "postal_code": "241381630",
            "telephone_number": "540-382-0178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 DOBBINS HOLLOW RD",
            "city": "PILOT",
            "state": "VA",
            "postal_code": "241381630",
            "telephone_number": "540-382-0178"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Spradlin Farm Dr",
            "address_purpose": "LOCATION",
            "city": "Christiansburg",
            "state": "VA",
            "postal_code": "240731161",
            "country_code": "US",
            "telephone_number": "540-381-2745",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MARJORIE",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-22",
        "last_updated": "2024-09-19",
        "certification_date": "2024-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0001097506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pilot, VA

Sources for this page

Verify at the official NPI Registry.