CARRIE JEAN YOUNG (NPI# 1154550259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154550259 |
| Entity Type | Individual |
| Full Name | CARRIE JEAN YOUNG |
| Other Name | CARRIE JEAN YOUNG BREADON |
| Credential | RN, CNM |
| Practice Address |
1100 Bergslien St Baldwin WI 54002-2600 |
| Practice Telephone | 7156841111 |
| Practice Fax Number | 7156841119 |
| Mailing Telephone | 7156841111 |
| Mailing Fax Number | 7156841119 |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2020-05-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163W00000X | Registered Nurse | RN862548 | CA | Nursing Service Providers |
| Y | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
387 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 700 S Tustin St, Orange, CA 928663425 | 7146334550 | |
| 968 Grand Ave, Saint Paul, MN 551053014 | 6518952520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366993305 | Carrie Marie Young | Registered Nurse | 10111 Tarpon Dr, Treasure Island, FL 33706-3122 | 2016-10-14 |
| 1558677948 | Carrie Patricia Young | Social Worker | 2657 Burningbush Dr, Sterling Heights, MI 48314-4527 | 2010-08-24 |
| 1275765752 | Carrie A. Young | Optometrist | 1918 Hikes Ln Ste 102, Louisville, KY 40218 | 2009-08-17 |
| 1164914784 | Carrie M Young | Social Worker | 67670 Traco Dr, Saint Clairsville, OH 43950-9375 | 2018-05-30 |
| 1750420980 | Carrie Frances Young | Counselor | 24 Weatherford Sq, Jackson, TN 38305-2202 | 2007-02-05 |
| 1417006487 | Carrie Anne Young | Occupational Therapist | 610 High Street, Oregon City, OR 97045 | 2007-01-09 |
| 1700970738 | Carrie A Young | Audiologist | 4600 Main St, Suite 201, Amherst, NY 14226-4500 | 2006-10-03 |
| 1447224142 | Carrie J Young | Nurse Practitioner | 601 5th St S, Suite 511, St Petersburg, FL 33701-4804 | 2006-02-17 |
| Street Address |
1100 BERGSLIEN ST |
| City | BALDWIN |
| State | WI |
| Zip Code | 54002-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245232982 | Christopher Converse Babbitt | Psychologist | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2005-08-12 |
| 1568076842 | Lindsey Jae Berg | Counselor | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-09-03 |
| 1558979112 | Alexandra Erickson | Occupational Therapist | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-07-20 |
| 1831712355 | Nicole Lee Samudio | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-05-19 |
| 1114567633 | Claire Bartlett | Physician Assistant | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2020-01-13 |
| 1598308025 | Morgan A Miller | Counselor | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2019-10-28 |
| 1508425356 | Brett Jensen | Specialist/Technologist | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2019-06-06 |
| 1053894840 | Katie Jo Carstens | Physician Assistant | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2018-09-08 |
| 1891277455 | Andrea Kay Burns | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2018-08-30 |
| 1790283265 | Kate Lynn Jones | Counselor | 1100 Bergslien St, Baldwin, WI 54002-2600 | 2018-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477099026 | Nichole Mattison | Radiologic Technologist | 1180 Oak St, Baldwin, WI 54002 | 2017-01-06 |
| 1497807929 | Dane L Rasmussen | Pharmacist | 840 Main St., Baldwin, WI 54002 | 2007-01-17 |
| 1114083912 | Douglas Earl Jacot | Chiropractor | 1640 Tenth Avenue, Baldwin, WI 54002 | 2006-12-28 |
| 1902907454 | Michael Lee Douglas | Family Medicine | 1110 Bergslien Street, Baldwin, WI 54002 | 2006-09-26 |
| 1427092196 | Shaima Sulemankhil | Family Medicine | 730 10th Ave., Baldwin, WI 54002 | 2006-06-15 |
| 1538114079 | Village of Baldwin | Ambulance | 630 Highway 12, Baldwin, WI 54002 | 2006-05-23 |
| 1861001083 | Marina Cheung Taylor | Physical Therapist | 990 Main Street, Suite #1, Baldwin, WI 54002 | 2020-07-23 |
| 1497245625 | Meghan Ann Becker | Physical Therapist | 650 Birch St, Baldwin, WI 54002 | 2018-05-14 |
| 1902108814 | Purdy Family Dentistry | Dentist | 1730 8th Avenue, Baldwin, WI 54002 | 2010-11-29 |
| 1861538472 | Susan Jayne Irek | Pharmacist | 840 Main Street, Baldwin, WI 54002 | 2007-01-30 |
| Find all providers in zip 54002 | ||||
| Taxonomy Code | 363LX0001X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Obstetrics & Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720599673 | Karli Rae Kerrschneider | Nurse Practitioner | 1100 Bergslien St, Baldwin, WI 54002 | 2017-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922129246 | Marilyn Marie Jeffries | Nurse Practitioner | 1231 Menomonie St, Eau Claire, WI 54703-5996 | 2007-04-03 |
| 1346494770 | Erica R. Loppnow | Nurse Practitioner | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2008-11-12 |
| 1013172766 | Annette Quinn | Nurse Practitioner | 725 American Ave, Prohealth Care Women's Center, Waukesha, WI 53188-5031 | 2008-07-22 |
| 1225295736 | Kaitlin S. Earley | Nurse Practitioner | 1303 S Main St, Holmen, WI 54636 | 2008-05-21 |
| 1265604839 | Dawn C. Baarendse | Nurse Practitioner | 1621 N Taylor Dr, Sheboygan, WI 53081-1990 | 2008-03-24 |
| 1174744494 | Lyndell Marie Wedyke | Nurse Practitioner | 1330 N Superior Ave, Tomah, WI 54660-1130 | 2007-05-02 |
| 1528104536 | Mary C Mazul | Nurse Practitioner | 5000 W Chambers St, St. Joseph Regional Medical Ctr-women's Outpatient Ctr, Milwaukee, WI 53210-1650 | 2007-01-29 |
| 1053470195 | Sarah Ann Pierre | Nurse Practitioner | 704 S Webster Ave, Obgyn Associates of Green Bay Ltd, Green Bay, WI 54301 | 2006-12-06 |
| 1902826522 | Lynn Marie Kern | Nurse Practitioner | 2720 Plaza Dr, Suite 2100, Wausau, WI 54401-4158 | 2006-07-19 |
| 1316991649 | Lori Hagar | Nurse Practitioner | 9200 W Wisconsin Ave, Department of Obstetrics and Gynecology, Milwaukee, WI 53226-3522 | 2006-05-20 |
| Find all providers with the same taxonomy | ||||
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| 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.