KELLY M YOUNG RN CNP NPI 1245679000

NPI Information

  • NPI: 1245679000
  • Provider Name: KELLY M YOUNG, RN, CNP
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1009 RIDGEWAY PL
    FARMINGTON, NM
    ZIP 87401
  • Phone: (505) 327-0002

Map and Directions

Get Directions

NPI Details

Kelly M Young, RN, CNP is a psychiatric/mental health nurse practitioner in Farmington, NM with 11 years of experience. Kelly M Young, RN, CNP NPI is 1245679000. 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:

1009 RIDGEWAY PL
FARMINGTON, NM
ZIP 87401-092
Phone: (505) 327-0002
Fax: (505) 325-9443

The NPI 1245679000 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 6/14/2013 and was last updated on 6/20/2023.

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
1163W00000XRegistered NurseRN-77457NEW MEXICONo
2363L00000XNurse PractitionerCNP-02180NEW MEXICONo
3363LF0000XNurse PractitionerFamilyCNP-02180NEW MEXICONo
4363LP0808XNurse PractitionerPsychiatric/Mental HealthCNP-02180NEW MEXICOYes

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: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI