Traci Denise Young

Primary specialty

HomemakerTaxonomy code 376J00000X

License

AF730304425 Issued in MI

Practice address

6475 Ruidoso Dr
Saginaw, MI 48603-4803

Phone

(989) 249-4385

NPI assigned

Oct 4, 2010

Last updated

Oct 4, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1286150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286150400000",
    "number": "1942519244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6475 RUIDOSO DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486034803",
            "telephone_number": "989-249-4385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 RUIDOSO DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486034803",
            "telephone_number": "989-249-4385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TRACI",
        "middle_name": "DENISE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-04",
        "last_updated": "2010-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "MI",
            "license": "AF730304425",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "MI",
            "license": "AF730304425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Young
• Libby Young
• Maureen Young
• Nia Young
• Stacey Lynn Young
• Trisha Young
• Brion J. Younk, BA,CPSS
• Gheith Yousif, MD
• Youth Seeking to Excel & Progress
• James Yu, MD

• Homemaker in Saginaw, MI
• Providers in Saginaw, MI by specialty
• Homemaker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2010; 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.