Individual provider Active NPI

Cara Calloway Young, PHD, APRN, BC

  • Family Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1962537399
Registry record updated Dec 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN12519 Issued in TN
Practice address
3801 Hillsboro Rd
Nashville, TN 37215-2603
Phone
(615) 385-0622
NPI assigned
Feb 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN12519 TN Primary

Addresses

Primary practice location

3801 Hillsboro Rd
Nashville, TN 37215-2603

Mailing address

600C Godchaux Hall
461 21St Avenue South
Nashville, TN 37240-0001
Phone (615) 343-0637

Other identifiers 2

IdentifierTypeStateIssuer
F1106115OtherAANC BOARD CERTIFICATION
APN12519OtherTNADVANCE PRACTICE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190918002615 TX Practitioner - Nurse Practitioner 8224198775 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
APN12519TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas at Austin Dell Medical School Current Accepting new patients
The University of Texas at Austin CurrentSince May 21, 2019 Accepting new patients
University of Texas at Austin Dell Medical School CurrentSince May 21, 2019 Accepting new patients
University Health Services Past Accepting new patients

Locations

2901 N Interstate 35
Ste 1301
Austin, TX 78722
Phone (512) 203-7533

2901 N Interstate 35
Ste 1
Austin, TX 78722

2901 N Interstate 35
#1301
Austin, TX 78722
Phone (512) 232-3900

Interoperability endpoints

  • Direct secure messaging: cara.young.1@16041.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324252800000",
    "number": "1962537399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600C GODCHAUX HALL",
            "address_2": "461 21ST AVENUE SOUTH",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372400001",
            "telephone_number": "615-343-0637",
            "fax_number": "615-343-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 HILLSBORO RD",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152603",
            "telephone_number": "615-385-0622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CARA",
        "middle_name": "CALLOWAY",
        "credential": "PHD, APRN, BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2011-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN12519",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AANC BOARD CERTIFICATION",
            "identifier": "F1106115",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADVANCE PRACTICE LICENSE",
            "identifier": "APN12519",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.