Individual provider Active NPI

Rachel F Young

  • Family Nurse Practitioner
  • Detroit, MI
National Provider Identifier
1922507805
Registry record updated Jan 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704249554 Issued in MI
Practice address
2799 W Grand Blvd
Detroit, MI 48202
Phone
(313) 595-6595
NPI assigned
Feb 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 4704249554 MI Primary

Addresses

Primary practice location

2799 W Grand Blvd
Detroit, MI 48202

Mailing address

13167 Mortenview Dr
Taylor, MI 48180-4702
Phone (734) 642-7266

Other practice location 1

4201 Saint Antoine St
Detroit, MI 48201-2153
Phone (734) 642-7266

Other practice location 2

5901 Chase Rd Ste 110
Dearborn, MI 48126-0900
Phone (313) 581-9446

Other practice location 3

5901 Chase Rd Ste 110
Dearborn, MI 48126-0900
Phone (313) 581-9446

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190205000803 MI Practitioner - Nurse Practitioner 8224376934 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System Nurse Practitioner CurrentSince Jan 1, 2019 Accepting new patients
Henry Ford Health System CurrentSince Jan 1, 2019 Accepting new patients

Locations

1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

Interoperability endpoints

  • Direct secure messaging: ryoung557565@direct.hfhs.org

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548374400000",
    "number": "1922507805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13167 MORTENVIEW DR",
            "city": "TAYLOR",
            "state": "MI",
            "postal_code": "481804702",
            "telephone_number": "734-642-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2799 W GRAND BLVD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48202",
            "telephone_number": "313-595-6595"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4201 Saint Antoine St",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012153",
            "country_code": "US",
            "telephone_number": "734-642-7266",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 Chase Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481260900",
            "country_code": "US",
            "telephone_number": "313-581-9446",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5901 Chase Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Dearborn",
            "state": "MI",
            "postal_code": "481260900",
            "country_code": "US",
            "telephone_number": "313-581-9446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "RACHEL",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2019-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704249554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.