KIMBERLY WADE YOUNG (NPI# 1013533553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013533553 |
| Entity Type | Individual |
| Full Name | KIMBERLY WADE YOUNG |
| Credential | MSN, APRN, FNP-C |
| Practice Address |
2936 Idaho Falls Dr Beavercreek OH 45431-5607 |
| Practice Telephone | 9374757204 |
| Mailing Telephone | 9374757204 |
| Enumeration Date | 2020-06-21 |
| Last Update Date | 2020-06-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
APRN.CNP.0026832 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AANP FNP CERTIFICATION | F06200106 | 01 | |
| OH | APRN LICENSE | APRN.CNP.0026832 | 01 |
| OH | RN LICENSE | RN.288925 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235616913 | Kimberly Jill Young | Dietitian, Registered | 8500 N. Atlas Rd., Hayden, ID 83835 | 2018-07-25 |
| 1225570096 | Kimberly Young | Clinical Nurse Specialist | 3234 Mossy Elm Ct, Houston, TX 77059-3228 | 2016-11-10 |
| 1770030827 | Kimberly Young | Technician, Other | 795 Michigan Ave, Gaylord, MI 49735-9525 | 2016-09-07 |
| 1194197434 | Kimberly Young | Nurse Practitioner | 501 Fellowship Rd Ste 101, Mount Laurel, NJ 08054 | 2015-10-27 |
| 1083963185 | Kimberly Kyzer Young | Pharmacist | 1002 Sams Crossing Rd, Columbia, SC 29229 | 2012-09-05 |
| 1073761813 | Kimberly Dawn Young | Physical Therapy Assistant | 405 Royal Glen Blvd, Murfreesboro, TN 37128-3744 | 2008-09-05 |
| 1265634505 | Kimberly Arlene Young | Psychologist | 3505 N 124th St, Uppr, Brookfield, WI 53005-2489 | 2007-05-31 |
| 1396373601 | Kimberly Anieka Young | Social Worker | 109 S Elm St, Creedmoor, NC 27522-9181 | 2020-03-31 |
| 1881168540 | Kimberly Latasha Young | Counselor | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2019-01-16 |
| 1457852162 | Kimberly Lavon Young | Registered Nurse | 3330 Fannin St, Beaumont, TX 77701-3801 | 2018-02-27 |
| Street Address |
2936 IDAHO FALLS DR |
| City | BEAVERCREEK |
| State | OH |
| Zip Code | 45431-5607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336768571 | Seth Perry | Student in an Organized Health Care Education/Training Program | Soin Family Medicine, 2145 North Fairfield Road, Suite 100, Beavercreek, OH 45431 | 2020-04-08 |
| 1326680133 | Beavercreek Dental Care Inc | Clinic/Center | 2141 N Fairfield Rd Suite A, Beavercreek, OH 45431 | 2019-10-14 |
| 1487213955 | Hannah Sutherland | Dentist | 3286 Pentagon Park Blvd, Beavercreek, OH 45431 | 2019-06-10 |
| 1598232027 | Holly M Williams | Speech-Language Pathologist | 3038 Kemp Road, Beavercreek, OH 45431 | 2018-11-02 |
| 1770987711 | Tisha Alcorn | Home Health Aide | 327 Canova Ln., Dayton, OH 45431 | 2014-10-20 |
| 1619389301 | Peyman Fattahi | Dentist | 3286 Pentagon Park Blvd., Beavercreek, OH 45431 | 2014-05-29 |
| 1497182992 | Trista Muncy | Social Worker | 100 Elmwood Park Drive Suite 201, Dayton, OH 45431 | 2013-09-30 |
| 1871869636 | Liberty Nursing Center of Beavercreek Inc | Skilled Nursing Facility | 3854 Park Overlooke Drive, Beavercreek, OH 45431 | 2012-03-27 |
| 1750650776 | Emergency Medicine Specialists, Inc | Emergency Medicine | 3535 Pentagon Boulevard, Beavercreek, OH 45431 | 2011-12-20 |
| 1902079213 | Laureene Bollinger | Registered Nurse | 2286 El Cid Dr., Beavercreek, OH 45431 | 2008-04-08 |
| Find all providers in zip 45431 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730786757 | Philip James Spicer | Nurse Practitioner | 1896 Amys Ridge Ct, Beavercreek, OH 45434-7192 | 2020-10-02 |
| 1134695000 | Laura Busteed | Nurse Practitioner | 3535 Pentagon Blvd Ste 320, Beavercreek, OH 45431-1705 | 2018-10-18 |
| 1174041149 | Yolonda M Kelly | Nurse Practitioner | 2510 Commons Blvd. Suite 160, Beavercreek, OH 45431-3834 | 2017-08-30 |
| 1649717786 | Jarrell Healthcare LLC | Nurse Practitioner | 2621 Hibiscus Way, #125, Beavercreek, OH 45431-2776 | 2017-01-27 |
| 1477098705 | Sharon Rodgers | Nurse Practitioner | 2510 Commons Blvd Ste 220, Beavercreek, OH 45431-3821 | 2016-12-22 |
| 1528429750 | Melissa Alcazar | Nurse Practitioner | 3535 Pentagon Park Blvd, Suite 400, Beavercreek, OH 45431-1705 | 2016-03-16 |
| 1760593107 | Nina Rose Keegan | Nurse Practitioner | 1331 N Fairfield Rd, Beavercreek, OH 45432-2643 | 2006-08-31 |
| 1306450176 | Jenna Mcconnell | Nurse Practitioner | 2510 Commons Blvd Ste 210, Beavercreek, OH 45431-3821 | 2020-08-31 |
| 1376176784 | Kelcy Tucker | Nurse Practitioner | 3165 Dayton Xenia Rd, Beavercreek, OH 45434-6309 | 2020-02-14 |
| 1023650165 | Carrie Steward | Nurse Practitioner | 2605 Greenbrier Ct, Beavercreek, OH 45431-8564 | 2019-10-10 |
| Find all providers in BEAVERCREEK | ||||
| City | BEAVERCREEK |
| Zip Code | 45431 |
Please comment or provide details below to improve the information on KIMBERLY WADE YOUNG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.