Jenice Janelle Young, RN

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

559044-1 Issued in NY

Practice address

4 White Birch LN
Gansevoort, NY 12831-1142

Phone

(518) 798-3567

NPI assigned

Feb 28, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Jenice Janelle Hickman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1330387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1861766461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WHITE BIRCH LN",
            "city": "GANSEVOORT",
            "state": "NY",
            "postal_code": "128311142",
            "telephone_number": "518-798-3567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WHITE BIRCH LN",
            "city": "GANSEVOORT",
            "state": "NY",
            "postal_code": "128311142",
            "telephone_number": "518-798-3567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JENICE",
        "middle_name": "JANELLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-28",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "559044-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENICE",
            "last_name": "HICKMAN",
            "middle_name": "JANELLE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Stephen George Wartel, MSW
• Trista Lynn Welch, LPN
• Anna Aleksandrovna Wernau, FNP
• Ruth R Whitney, FNP
• Tyler Leigh Wilson, DNP AGNP

• Critical Care Medicine Registered Nurse in Gansevoort, NY
• Providers in Gansevoort, NY by specialty
• Critical Care Medicine Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.