Individual provider Active NPI

Lisa Yvonne Young, FNP

  • Family Nurse Practitioner
  • Oak Hill, WV
National Provider Identifier
1922553098
Registry record updated Dec 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN43326NP Issued in WV
Practice address
404 4TH Ave
Oak Hill, WV 25901-2220
Phone
(304) 222-1973
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2016

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 APRN43326NP WV Primary

Addresses

Primary practice location

404 4TH Ave
Oak Hill, WV 25901-2220

Mailing address

404 4TH Ave
Oak Hill, WV 25901-2220
Phone (304) 222-1973

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20170118001807 WV Practitioner - Nurse Practitioner 5092097527 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN43326NPWVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Medical Group WV, PC CurrentSince Oct 19, 2024 Accepting new patients
Geps Physician Group of West Virginia PC CurrentSince Nov 9, 2016 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients

Locations

405 Stanaford Rd
Beckley, WV 25801
Phone (301) 856-1660

1543 Country Club Rd
Fairmont, WV 26554
Phone (304) 363-2273

1 Diane Dr
Fort Ashby, WV 26719
Phone (304) 298-3602

101 13th St
Huntington, WV 25701
Phone (304) 525-7622

Organizations & group practices 3

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": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481241600000",
    "number": "1922553098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 4TH AVE",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259012220",
            "telephone_number": "304-222-1973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 4TH AVE",
            "city": "OAK HILL",
            "state": "WV",
            "postal_code": "259012220",
            "telephone_number": "304-222-1973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LISA",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2016-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WV",
            "license": "APRN43326NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Hill, WV

Sources for this page

Verify at the official NPI Registry.