Shatondrick Young

Primary specialty

Adult Day Care Clinic/CenterTaxonomy code 261QA0600X

Practice address

1105 38TH St
Lubbock, TX 79412-1416

Phone

(806) 319-2204

NPI assigned

Jan 26, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1992458335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1416 KINGSTON ST",
            "city": "WOLFFORTH",
            "state": "TX",
            "postal_code": "793821765",
            "telephone_number": "806-319-2204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 38TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794121416",
            "telephone_number": "806-319-2204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SHATONDRICK",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Young, PHARM.D.
• Kenneth Young
• Larry Joe Young, D.C.
• Matthew Pratt Young, MD
• Monica Young, SLP
• Tandi Young
• Wali Yousufzai, MD
• Sanjna Zadoo, MD
• Ahmad Zaghal, M.D.
• Zafar Zaidi

• Adult Day Care Clinic/Center in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Adult Day Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2022; 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.