SHAWN YOUNGMAN FNP NPI 1831562016

NPI Information

NPI: 1831562016
Provider Name: SHAWN YOUNGMAN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: BLUE RIDGE MEDICAL MANAGEMENT CORPORATION

PECOS Registration: Yes

Address:
400 N STATE OF FRANKLIN RD
ROOM 2746
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 431-2727
Get Directions

Shawn Youngman, FNP is a family nurse practitioner in Johnson City, TN with 9 years of experience. Shawn Youngman, FNP NPI is 1831562016. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

400 N STATE OF FRANKLIN RD
ROOM 2746
JOHNSON CITY, TN
ZIP 37604-035
Phone: (423) 431-2727
Fax: (423) 431-6715

The NPI 1831562016 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 11/10/2015 and was last updated on 4/19/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LC0200X	Nurse Practitioner	Critical Care Medicine	20673	TENNESSEE	No
2	363LF0000X	Nurse Practitioner	Family	20673	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Q018961	MEDICAID	TENNESSEE
2	1831562016	MEDICAID	VIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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