Active NPI
Ashley Lynn Young, FNP
- Family Nurse Practitioner
- Eagle, ID
National Provider Identifier
1992380919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95013747
- Practice address
- 1079 S Ancona Ave
Suite 140
Eagle, ID 83616 - Phone
- (208) 428-4830
- Fax
- (541) 550-2286
- NPI assigned
- Mar 11, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95013747 | CA | Primary |
Addresses
Primary practice location
1079 S Ancona Ave
Suite 140
Eagle, ID 83616
Mailing address
1079 S Ancona Ave
Suite 140
Eagle, ID 83616
Phone (208) 428-4830
Other names 1
- Miss Ashley Lynn Coates
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95013747 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615420800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683244800000",
"number": "1992380919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1079 S ANCONA AVE",
"address_2": "SUITE 140",
"city": "EAGLE",
"state": "ID",
"postal_code": "83616",
"telephone_number": "208-428-4830",
"fax_number": "541-550-2286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1079 S ANCONA AVE",
"address_2": "SUITE 140",
"city": "EAGLE",
"state": "ID",
"postal_code": "83616",
"telephone_number": "208-428-4830",
"fax_number": "541-550-2286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ASHLEY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-11",
"last_updated": "2023-05-05",
"certification_date": "2023-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95013747",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEY",
"last_name": "COATES",
"middle_name": "LYNN",
"prefix": "MISS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 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.