Jill A Young, MNT,RD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DI509 Issued in ME

Practice address

2 Great Falls PLZ
6TH Floor
Auburn, ME 04210-5966

Phone

(207) 783-0933

Fax

(207) 783-0933

NPI assigned

Jul 25, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1942223656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 GREAT FALLS PLZ",
            "address_2": "6TH FLOOR",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105966",
            "telephone_number": "207-783-0933",
            "fax_number": "207-783-0933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 GREAT FALLS PLZ",
            "address_2": "6TH FLOOR",
            "city": "AUBURN",
            "state": "ME",
            "postal_code": "042105966",
            "telephone_number": "207-783-0933",
            "fax_number": "207-783-0933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JILL",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "MNT,RD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ME",
            "license": "DI509",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2209976",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA/SCRANTON",
            "identifier": "0890195",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "MNT751",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS STAR",
            "identifier": "024781",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Wilkins, PT
• Willow Run Dental Assoc. P.a.
• John M Woytowicz, MD
• Holly Wright, LMSW-CC
• Papawadee Yooman, LMSW-CC
• Deanna L Zanoni, RN
• William F Zimmerman, MD

• Registered Dietitian in Auburn, ME
• Providers in Auburn, ME by specialty
• Registered Dietitian in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.