NIKKI L YOUNG (NPI# 1407361843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407361843 |
| Entity Type | Individual |
| Full Name | NIKKI L YOUNG |
| Practice Address |
511 Perry St Defiance OH 43512-2123 |
| Practice Telephone | 4194283800 |
| Practice Fax Number | 4197842523 |
| Mailing Telephone | 4194283800 |
| Mailing Fax Number | 4197842523 |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE | W.1600067 | 01 |
| OH | LICENSE | CDCA.162513 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235798414 | Nikki Young | Behavior Technician | 5755 Oberlin Dr Ste 300, San Diego, CA 92121-4717 | 2019-06-11 |
| 1841692159 | Nikki Young | Marriage & Family Therapist | 2020 Coffee Rd Ste A5, Modesto, CA 95355-2407 | 2014-09-17 |
| Street Address |
511 PERRY ST |
| City | DEFIANCE |
| State | OH |
| Zip Code | 43512-2123 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720046451 | Recovery Services of Northwest Ohio, Inc | Clinic/Center | 511 Perry St, Defiance, OH 43512-2123 | 2006-05-03 |
| 1487253886 | Dawn M Parsons | Registered Nurse | 511 Perry St, Defiance, OH 43512-2123 | 2020-10-19 |
| 1235744335 | Christina Parrish | Licensed Practical Nurse | 511 Perry St, Defiance, OH 43512-2123 | 2020-09-15 |
| 1285248146 | Summer Poland | Community/Behavioral Health | 511 Perry St, Defiance, OH 43512-2123 | 2020-09-08 |
| 1629696471 | Dixie Diane Peterson | Registered Nurse | 511 Perry St, Defiance, OH 43512-2123 | 2020-07-08 |
| 1750944518 | Kayla Sloan | Licensed Practical Nurse | 511 Perry St, Defiance, OH 43512-2123 | 2019-04-17 |
| 1427611292 | Elizabeth Hutchinson | Case Manager/Care Coordinator | 511 Perry St, Defiance, OH 43512-2123 | 2019-04-17 |
| 1003396789 | Brittany Keller | Case Manager/Care Coordinator | 511 Perry St, Defiance, OH 43512-2123 | 2018-08-21 |
| 1164902854 | Amber Smallman | Social Worker | 511 Perry St, Defiance, OH 43512-2123 | 2018-08-21 |
| 1770062903 | Sarah C Kaya | Social Worker | 511 Perry St, Defiance, OH 43512-2123 | 2018-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174098768 | Dr. Bradley Pittman Dds Ltd. | Oral & Maxillofacial Surgery | 205 E. Second St., Defiance, OH 43512 | 2018-10-10 |
| 1285115147 | Tamara Lynn Junge | Social Worker | 1252 Ralston Avenue, #401, Defiance, OH 43512 | 2018-08-28 |
| 1306207568 | Deborah Lehnert | Licensed Practical Nurse | 511 Perry Street, Defiance, OH 43512 | 2016-03-16 |
| 1265857924 | P & R Home Iv Service, Inc. | Durable Medical Equipment & Medical Supplies | 1018 Ralston Avenue, Suite 107, Defiance, OH 43512 | 2014-03-04 |
| 1609020155 | Christina Marie Pergram | Physician Assistant | 1250 Rlaston Ave, Suite 104, Defiance, OH 43512 | 2008-11-11 |
| 1477740785 | Assisted Living Concepts Inc | Assisted Living Facility | 245 North Rosewood Avenue, Defiance, OH 43512 | 2007-10-01 |
| 1720127863 | Kathy Williams Homier | Counselor | 815 E Second St, Defiance, OH 43512 | 2007-02-05 |
| 1407944960 | Oak Health Care Investors of Defiance, Inc. | Durable Medical Equipment & Medical Supplies | 1701 South Jefferson Ave, Defiance, OH 43512 | 2006-10-10 |
| 1184733719 | Shane Aaron Klingler | Chiropractor | 1770 Jefferson Ave, Defiance, OH 43512 | 2006-08-29 |
| 1396751327 | Elizabeth Marie Seibert | Pharmacist | 1245 E Second St, Defiance, OH 43512 | 2006-07-31 |
| Find all providers in zip 43512 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710493713 | Brooke K Grunden | Peer Specialist | 511 Perry St, Defiance, OH 43512-2123 | 2017-12-28 |
| 1720594963 | Tabitha R Delcarmen | Peer Specialist | 511 Perry St, Defiance, OH 43512-2123 | 2017-12-26 |
| 1598270928 | Hollie M Spangler | Peer Specialist | 511 Perry St, Defiance, OH 43512-2123 | 2017-12-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
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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.