Active NPI
Wendy D Young, CRNA
- Certified Registered Nurse Anesthetist
- Fort Worth, TX
National Provider Identifier
1952462996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 503100
- Practice address
- 801 7TH Ave
Fort Worth, TX 76104-2733 - Phone
- (682) 885-4054
- Fax
- (682) 885-7497
- NPI assigned
- Dec 13, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 503100 | TX | Primary |
Addresses
Primary practice location
801 7TH Ave
Fort Worth, TX 76104-2733
Mailing address
PO Box 162835
Fort Worth, TX 76161-2835
Phone (817) 334-0530
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00N47F | Other | TX | MEDICARE GROUP PIN |
| 137345809 | Other | TX | MEDICAID GROUP TPI |
| 002723702 | Other | TX | CSHCN TPI |
| 10027561 | Other | TX | AMERIGROUP PIN |
| 002722901 | Medicaid | TX | |
| 140442853 | Other | TX | CSHCN GROUP TPI |
| 1447220850 | Other | GRP NPI NUMBER | |
| 1856784 | Other | TX | UHC PIN |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274140800000",
"number": "1952462996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 162835",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761612835",
"telephone_number": "817-334-0530",
"fax_number": "817-334-0235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 7TH AVE",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761042733",
"telephone_number": "682-885-4054",
"fax_number": "682-885-7497"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "WENDY",
"middle_name": "D",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-13",
"last_updated": "2010-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "503100",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PIN",
"identifier": "00N47F",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID GROUP TPI",
"identifier": "137345809",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN TPI",
"identifier": "002723702",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP PIN",
"identifier": "10027561",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002722901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CSHCN GROUP TPI",
"identifier": "140442853",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GRP NPI NUMBER",
"identifier": "1447220850",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC PIN",
"identifier": "1856784",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 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.