Holly Young, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

248982 Issued in NY

Practice address

110 Ho Plaza
Ithaca, NY 14853

Phone

(607) 255-6106

Fax

(607) 254-3503

NPI assigned

May 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368144000000",
    "number": "1871939348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 HO PLAZA",
            "address_2": "GANNETT HEALTH SERVICES",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14853",
            "telephone_number": "607-255-6106",
            "fax_number": "607-254-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HO PLAZA",
            "city": "ITHACA",
            "state": "NY",
            "postal_code": "14853",
            "telephone_number": "607-255-6106",
            "fax_number": "607-254-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "HOLLY",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-10",
        "last_updated": "2013-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "248982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaichuan Yeh, M.S., PHARM. D.
• Sylvie Yntema, LMT
• Serena H. Yoon, MD
• Dawn Patricia Young, OPTICIAN
• Hannah Louise Young, PSY.D.
• Gregory Zablocki, M.D.
• Patricia Zalewski-Gibson, NPP
• Sohrab Zand, MB, BCH, BOA
• Joseph Peter Zanfordino, MA CCC/SP
• Douglas Michael Zang, MD

• Licensed Practical Nurse in Ithaca, NY
• Providers in Ithaca, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2013; 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.