KIMBERLY WADE YOUNG APRN FNP-C NPI 1013533553

NPI Information

NPI: 1013533553
Provider Name: KIMBERLY WADE YOUNG, APRN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
8120 GARNET DR
DAYTON, OH
ZIP 45458
Phone: (833) 510-4357
Get Directions

Kimberly Wade Young, APRN, FNP-C is a family nurse practitioner in Dayton, OH with 4 years of experience. Kimberly Wade Young, APRN, FNP-C NPI is 1013533553. 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:

8120 GARNET DR
DAYTON, OH
ZIP 45458-141
Phone: (833) 510-4357

The NPI 1013533553 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 6/21/2020 and was last updated on 1/29/2024.

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	363LF0000X	Nurse Practitioner	Family	APRN.CNP.0026832	OHIO	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	F06200106	OTHER		AANP FNP CERTIFICATION
2	RN.288925	OTHER	OHIO	RN LICENSE
3	APRN.CNP.0026832	OTHER	OHIO	APRN LICENSE
4	O418820	MEDICAID	OHIO

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: 4/28/2024

NPI Synchronization or Removal

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