Karon Young-Lightbody, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

101235134 Issued in VA

Practice address

309 Hwy 59 South Loop
Livingston, TX 77351

Phone

(936) 327-1055

Fax

(281) 592-1570

NPI assigned

Sep 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Calvary Medical, PA

  • Legal Medicine
  • Cleveland, TX
  • NPI 1265568042
  NPD (past)
• DLP Twin County Physician Practices LLC

  • Surgery Physician
  • Galax, VA
  • NPI 1033485925
  NPD (past)
• Southside Medical Practice PLLC

  • Internal Medicine Physician
  • Farmville, VA
  • NPI 1073177978
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634515200000",
    "number": "1972608529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S. WILLIAM BARNETT AVE.",
            "city": "CLEVELAND",
            "state": "TX",
            "postal_code": "77327",
            "telephone_number": "281-592-9775",
            "fax_number": "281-592-1570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 HWY 59 SOUTH LOOP",
            "city": "LIVINGSTON",
            "state": "TX",
            "postal_code": "77351",
            "telephone_number": "936-327-1055",
            "fax_number": "281-592-1570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG-LIGHTBODY",
        "first_name": "KARON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2021-10-18",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "101235134",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTHERN HEALTH",
            "identifier": "302301",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "010085497",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST NC",
            "identifier": "D5144",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "144244",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jerry D Wood, MD
• Daphne Woods
• Kyle Scott Workman, D.C.
• Lorna Wright, LMSW
• Shin Xu, MD
• Robert Jeffery Young, RPH
• Your Urgent Care of Texas-Livingston LLC
• Reyna Yu, NP-BC
• Lori Zenquis

• Pediatrics Physician in Livingston, TX
• Providers in Livingston, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; 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.