Individual provider Active NPI

Kristina Elisabeth Younger, LPN

  • Licensed Practical Nurse
  • Princeton, WV
National Provider Identifier
1952012965
Registry record updated Dec 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
28969 Issued in WV
Practice address
738 Mercer St
Princeton, WV 24740-3114
Phone
(304) 323-3069
Fax
(304) 324-7946
NPI assigned
Dec 9, 2022
Last updated
Dec 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 28969 WV Primary

Addresses

Primary practice location

738 Mercer St
Princeton, WV 24740-3114

Mailing address

738 Mercer St
Princeton, WV 24740-3114
Phone (304) 323-3069

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL desktop/tablet

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
28969WVMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Community Homecare, LLC CurrentSince Dec 13, 2022 Accepting new patients
Princeton Community Homecare, LLC PastSince Dec 13, 2022 Accepting new patients

Locations

738 Mercer St
Princeton, WV 24740
Phone (304) 323-3069

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": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1952012965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "738 MERCER ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403114",
            "telephone_number": "304-323-3069",
            "fax_number": "304-324-7946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "738 MERCER ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403114",
            "telephone_number": "304-323-3069",
            "fax_number": "304-324-7946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNGER",
        "first_name": "KRISTINA",
        "middle_name": "ELISABETH",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WV",
            "license": "28969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "desktop/tablet",
            "affiliation": "N",
            "address_1": "738 Mercer St",
            "city": "Princeton",
            "state": "WV",
            "country_code": "US",
            "postal_code": "247403114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Princeton, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.