Active NPI
Cherise Michelle Young, MA
- Rehabilitation Practitioner
- Las Vegas, NV
National Provider Identifier
1871833459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2121 E Warm Springs Rd Apt 1149
Las Vegas, NV 89119 - Phone
- (760) 230-3500
- NPI assigned
- Feb 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | NV | Primary |
Addresses
Primary practice location
2121 E Warm Springs Rd Apt 1149
Las Vegas, NV 89119
Mailing address
2121 E Warm Springs Rd Apt 1149
Las Vegas, NV 89119-0465
Phone (760) 230-3500
Other practice location 1
286 Euclid Ave
Suite 102
San Diego, CA 92114-3610
Phone (619) 266-2111 ext. 109
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225400000X | Medicaid | NV |
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
- Credentials
- Master of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530835200000",
"number": "1871833459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2121 E WARM SPRINGS RD APT 1149",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891190465",
"telephone_number": "760-230-3500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 E WARM SPRINGS RD APT 1149",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89119",
"telephone_number": "760-230-3500"
}
],
"practiceLocations": [
{
"address_1": "286 Euclid Ave",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921143610",
"country_code": "US",
"telephone_number": "619-266-2111 x109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "CHERISE",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "MA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-19",
"last_updated": "2018-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "225400000X",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.