Individual provider Active NPI

Lea Young, NP

  • Family Nurse Practitioner
  • Brandon, FL
National Provider Identifier
1932749223
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11005715 Issued in FL
Practice address
1920 W Brandon Blvd
Brandon, FL 33511-4814
Phone
(813) 662-3777
Fax
(813) 662-3779
NPI assigned
Jan 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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 11005715 FL Primary

Addresses

Primary practice location

1920 W Brandon Blvd
Brandon, FL 33511-4814

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (305) 500-2000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lea.young.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20200904000398 FL Practitioner - Nurse Practitioner 2264859297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

20 Cypress Point Pkwy
Suite 1
Palm Coast, FL 32164-7528
Phone (386) 586-7005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11005715FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Psgfl MSSP, LLC CurrentSince Jul 28, 2025 Accepting new patients
Conviva Medical Center Management LLC CurrentSince Nov 11, 2024 Accepting new patients

Locations

1920 W Brandon Blvd
Brandon, FL 33511
Phone (813) 662-3777

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

20 Cypress Point Pkwy
#1
Palm Coast, FL 32164
Phone (386) 206-5177

20 Cypress Point Pkwy
Ste A
Palm Coast, FL 32164
Phone (386) 586-7005

8325 University Pkwy
Ste A
Pensacola, FL 32514
Phone (850) 324-9633

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lea.young.1@29601.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1932749223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "305-500-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 W BRANDON BLVD",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335114814",
            "telephone_number": "813-662-3777",
            "fax_number": "813-662-3779"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LEA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11005715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lea.young.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "lea.young.1@29601.direct.athenahealth.com",
            "address_1": "1920 W Brandon Blvd",
            "city": "Brandon",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335114814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

Verify at the official NPI Registry.