Young City Medical Care

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

5867P Issued in KY

Legal business name

YOUNG CITY MEDICAL CARE

Practice address

1904 Crums LN
Louisville, KY 40216-4228

Phone

(502) 644-4068

NPI assigned

Feb 2, 2010

Organization subpart

No

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

Authorized official

Name

Jacque Young, ARNPNPI 1639315443

Title

Ceo

Phone

(502) 644-4068

Specialties & licenses 1

Addresses

Other names 1

• Jacque DeShay Young Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jacque D Young, ARNP

  • Family Nurse Practitioner
  • Louisville, KY
  • NPI 1639315443
  NPD (past) Authorized official

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

{
    "created_epoch": "1265068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265068800000",
    "number": "1861724874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 CRUMS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164228",
            "telephone_number": "502-644-4068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 CRUMS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402164228",
            "telephone_number": "502-644-4068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG CITY MEDICAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-02",
        "last_updated": "2010-02-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "502-644-4068",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "5867P",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jacque DeShay Young",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Brian Yost, DC
• Tina Yost
• You Only Live Once Medical
• Bradley Ben Youkilis, MD
• Young & Young Dental
• Young Community Medical Care PLLC
• Robert A Young Jr, DMD
• Young-Rivers Associates, P.S.C.
• Adam Lee Young, OTR/L MS
• Bailey Walker Young, DO

• Family Nurse Practitioner in Louisville, KY
• Providers in Louisville, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2010; 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.