Active NPI
Tyrene Young
- Family Nurse Practitioner
- Far Rockaway, NY
National Provider Identifier
1942833843
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F344532-01
- Practice address
- 2204 Collier Ave Apt 6D
Far Rockaway, NY 11691-2668 - Phone
- (718) 314-4136
- NPI assigned
- Feb 19, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F344532-01 | NY | Primary |
Addresses
Primary practice location
2204 Collier Ave Apt 6D
Far Rockaway, NY 11691-2668
Mailing address
2204 Collier Ave Apt 6D
Far Rockaway, NY 11691-2668
Phone (718) 314-4136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 344532 | NY | MD | Licensed Practical Nurse |
| F344532-01 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1582070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582070400000",
"number": "1942833843",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2204 COLLIER AVE APT 6D",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116912668",
"telephone_number": "718-314-4136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 COLLIER AVE APT 6D",
"city": "FAR ROCKAWAY",
"state": "NY",
"postal_code": "116912668",
"telephone_number": "718-314-4136"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "TYRENE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-19",
"last_updated": "2020-02-19",
"certification_date": "2020-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "F344532-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Far Rockaway, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.