Active NPI
Tori Young, AGNP-C, BSN, RN
- Gerontology Nurse Practitioner
- Wilmington, NC
National Provider Identifier
1962245100
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- 5022706
- Practice address
- 2334 41St St
Wilmington, NC 28403-5502 - Phone
- (844) 854-6884
- NPI assigned
- Jun 15, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 306329 | NC | |
| Adult Health Nurse Practitioner | 363LA2200X | 5022706 | NC | |
| Gerontology Nurse Practitioner | 363LG0600X | 5022706 | NC | Primary |
Addresses
Primary practice location
2334 41St St
Wilmington, NC 28403-5502
Mailing address
2334 41St St
Wilmington, NC 28403-5502
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2025
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10 Little Brook Rd
West Wareham, MA 02576-1222
2334 41St St
Wilmington, NC 28403-5502
316 Hwy 801 S
Advance, NC 27006-7647
657 Abington Dr NE
Concord, NC 28025-2584
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 306329 | NC | MD | Registered Nurse |
| 5022706 | NC | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Liberty Medical Care Services, LLC | Current | Accepting new patients |
Locations
3000 Holston Ln
Raleigh, NC 27610
Phone (919) 231-6045
44 McNeill Plz
Whiteville, NC 28472
Phone (910) 642-0224
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Nurse Practitioner
- Whiteville, NC
- NPI 1174920300
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753401600000",
"number": "1962245100",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2334 41ST ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2334 41ST ST",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284035502",
"telephone_number": "844-854-6884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "TORI",
"credential": "AGNP-C, BSN, RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-15",
"last_updated": "2025-07-25",
"certification_date": "2025-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "306329",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NC",
"license": "5022706",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "NC",
"license": "5022706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.