Audrey M Young, RD, LDN, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

901 Issued in MA

Practice address

2 First Avenue Centennial Crossing
Suite 112
Peabody, MA 01960

Phone

(617) 240-6383

Fax

(978) 745-7982

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mass General Brigham Community Physicians Inc

  • Cardiovascular Disease Physician
  • Medford, MA
  • NPI 1548638265

  MA

  Medicare reassignment Care Compare group NPD
• Steward St. Elizabeth'S Medical Center of Boston, Inc.

  • Specialist
  • Boston, MA
  • NPI 1174836852

  MA

  Medicare reassignment NPD
• Mass General Brigham Community Physicians Inc

  • Clinical Medical Laboratory
  • Haverhill, MA
  • NPI 1659790905
  Care Compare group
• Mass General Brigham Community Physicians Inc.

  • Internal Medicine Physician
  • Westwood, MA
  • NPI 1144707332
  Care Compare group
• Mass General Brigham Community Physicians Inc.

  • Internal Medicine Physician
  • Concord, MA
  • NPI 1174545875
  Care Compare group
• Mass General Brigham Community Physicians Inc.

  • Internal Medicine Physician
  • Westford, MA
  • NPI 1497216279
  Care Compare group
• Mass General Brigham Community Physicians Inc.

  • Internal Medicine Physician
  • Haverhill, MA
  • NPI 1891112637
  Care Compare group
• Mystic Cardiology Associates Inc

  • Cardiovascular Disease Physician
  • Medford, MA
  • NPI 1124093224
  NPD
• Steward St. Elizabeth'S Medical Center of Boston, Inc.

  • Psychiatric Hospital Unit
  • Boston, MA
  • NPI 1992018782
  NPD
• Malden Primary Care, PC

  • Internal Medicine Physician
  • Malden, MA
  • NPI 1518903327
  NPD (past)

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Mass General Brigham Community Physicians Inc 430 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: young.audrey.mcard@direct.partners.masshiway.net

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 22, 2022.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671667200000",
    "number": "1881815751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MYSTIC HEALTHCARE",
            "address_2": "137 MAIN STREET",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "01255",
            "telephone_number": "781-395-4761",
            "fax_number": "781-395-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 FIRST AVENUE CENTENNIAL CROSSING",
            "address_2": "SUITE 112",
            "city": "PEABODY",
            "state": "MA",
            "postal_code": "01960",
            "telephone_number": "617-240-6383",
            "fax_number": "978-745-7982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "AUDREY",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "RD, LDN, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-12-22",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1004X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Pediatric",
            "state": "MA",
            "license": "901",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MA",
            "license": "901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00376201",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jason Cheng Wu, M.D.
• Katherine Wu, M.D.
• Kevin J Yeh, M.D.
• Sheng-Hung Yeh
• Emad S Younan, M.D.
• Jing Yu, MD
• George Zafiri, RPH
• Lexie Zammer
• Joey Zeng, DMD
• Vicki Hui Zhu, D.M.D

• All providers in Peabody, MA
• Registered Dietitian in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.