Debra Rena Young, LPN,CCMA, NA

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

12234 W Dearbourn Ave
Wauwatosa, WI 53226-3842

Phone

(414) 839-1363

Fax

(414) 800-4213

NPI assigned

Oct 2, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Sadies Leisure Living Adult Family Home

  • Assisted Living Facility
  • Milwaukee, WI
  • NPI 1033566567
  NPD (past) Authorized official

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

{
    "created_epoch": "1506902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695772800000",
    "number": "1992215289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12234 W DEARBOURN AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263842",
            "telephone_number": "414-839-1363",
            "fax_number": "414-800-4213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12234 W DEARBOURN AVE",
            "city": "WAUWATOSA",
            "state": "WI",
            "postal_code": "532263842",
            "telephone_number": "414-839-1363",
            "fax_number": "414-800-4213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DEBRA",
        "middle_name": "RENA",
        "name_prefix": "Ms.",
        "credential": "LPN,CCMA, NA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-02",
        "last_updated": "2023-09-27",
        "certification_date": "2023-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "043133699",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MN",
            "license": "824688",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "WI",
            "license": "325641",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "WI",
            "license": "187357",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emilee Yamdagni, M.D.
• Nora Villemur Yanchar, PH.D.
• Bao Yang, MSW, LCSW
• Dalia Yehyawi, DDS
• Alexander Young, DC
• Karissa Young, LCSW
• Mara L Youngbauer, LPCIT
• Your First Choice Home Health Care Inc
• Mohammed Ibbad Yousuf, MD
• Xiaodan Lucy Yu, ACUPUNCTURIST

• Personal Care Attendant in Wauwatosa, WI
• Providers in Wauwatosa, WI by specialty
• Personal Care Attendant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2023; 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.