Western Youth Network, Inc

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

Legal business name

WESTERN YOUTH NETWORK, INC

Practice address

155 Wyn Way
Boone, NC 28607-8553

Phone

(828) 264-5174

Fax

(828) 264-0838

NPI assigned

Oct 21, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Warren

Title

Executive Director

Phone

(828) 264-5174

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1382313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382313600000",
    "number": "1922436492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 WYN WAY",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 WYN WAY",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286078553",
            "telephone_number": "828-264-5174",
            "fax_number": "828-264-0838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN YOUTH NETWORK, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-21",
        "last_updated": "2013-10-21",
        "status": "A",
        "authorized_official_last_name": "WARREN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "828-264-5174",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adam Brock Whiteley, DMD, MS
• Kelly Walsh Whiteley, D.M.D.

• All providers in Boone, NC
• Voluntary or Charitable Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.