Individual provider Active NPI

Maria E Young

  • Case Manager/Care Coordinator
  • Coconut Grove, FL
National Provider Identifier
1851937353
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2780 SW 37TH Ave Ste 206
Coconut Grove, FL 33133
Phone
(305) 646-0112
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X FL Primary

Addresses

Primary practice location

2780 SW 37TH Ave Ste 206
Coconut Grove, FL 33133

Mailing address

1149 Independence TRL Apt D
Homestead, FL 33034-2651
Phone (786) 502-0500

Other practice location 1

2780 SW 37th Ave Ste 206
Coconut Grove, FL 33133-2740
Phone (305) 910-5040

Other identifiers 1

IdentifierTypeStateIssuer
CBHCMMedicaidFL

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

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1851937353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 INDEPENDENCE TRL APT D",
            "city": "HOMESTEAD",
            "state": "FL",
            "postal_code": "330342651",
            "telephone_number": "786-502-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 SW 37TH AVE STE 206",
            "city": "COCONUT GROVE",
            "state": "FL",
            "postal_code": "33133",
            "telephone_number": "305-646-0112"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2780 SW 37th Ave Ste 206",
            "address_purpose": "LOCATION",
            "city": "Coconut Grove",
            "state": "FL",
            "postal_code": "331332740",
            "country_code": "US",
            "telephone_number": "305-910-5040",
            "fax_number": "305-646-0113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MARIA",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CBHCM",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coconut Grove, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.