MR. LOUIS E YOUNG (NPI# 1548267933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548267933 |
| Entity Type | Individual |
| Full Name | MR. LOUIS E YOUNG |
| Credential | MSN, RNC |
| Practice Address |
3704 Mattison Ave Fort Worth TX 76107-2619 |
| Practice Telephone | 8177328441 |
| Practice Fax Number | 8177321833 |
| Mailing Telephone | 8177328441 |
| Mailing Fax Number | 8177321833 |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364S00000X | Clinical Nurse Specialist | 423974 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3704 MATTISON AVE |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76107-2619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134126279 | Charles A Haskovec Jr. | Psychologist | 3704 Mattison Ave, Fort Worth, TX 76107-2619 | 2005-07-05 |
| 1093712333 | James H Gottlich | Social Worker | 3704 Mattison Ave, Fort Worth, TX 76107-2619 | 2005-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629683602 | Renovo Wound and Hyperbarics Pllc | Emergency Medicine | 5668 Edwards Ranch Road, Suite 101, Fort Worth, TX 76107 | 2020-09-15 |
| 1669085437 | Ryan Bourgeois | Nurse Practitioner | 2917 Crocket Street, Fort Worth, TX 76107 | 2020-08-31 |
| 1053920546 | Christa Marie Widjaja | Optometrist | 1700 Montgomery St, Fort Worth, TX 76107 | 2020-07-30 |
| 1093351355 | Raymond Iannone | Pharmacist | 850 Montgomery St, Suite #310, Fort Worth, TX 76107 | 2019-11-21 |
| 1053963744 | Cumulus Injury Resolution, Inc. | Chiropractor | 4936 Byers Avenue, Fort Worth, TX 76107 | 2019-07-12 |
| 1770135576 | Shadia Osakwe | Physician Assistant | 855 Montgomery Street, Pediatric Clinic, Fort Worth, TX 76107 | 2019-07-11 |
| 1568945442 | Sachin P Patel | Physical Therapist | 4825 Wellesley St, Fort Worth, TX 76107 | 2018-09-07 |
| 1023594025 | Ftw Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 2912 W 6th St Ste 150, Fort Worth, TX 76107 | 2018-07-13 |
| 1669974325 | Helen Williamson Elliott | Counselor | 1751 River Run #217, Fort Worth, TX 76107 | 2018-03-08 |
| 1487156931 | Pelvic Neuromonitoring Pllc | Electrodiagnostic Medicine | 111 Boland St #211, Ft Worth, TX 76107 | 2018-03-01 |
| Find all providers in zip 76107 | ||||
| Taxonomy Code | 364S00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| A registered nurse who, through a graduate degree program in nursing, or through a formal post-basic education program or continuing education courses and clinical experience, is expert in a specialty area of nursing practice within one or more of the components of direct patient/client care, consultation, education, research and administration. |
| Notes: Sources: American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue and The Interagency Conference on Nursing Statistics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144843103 | Katie Elaine Malone | Clinical Nurse Specialist | 1325 Pennsylvania Ave Ste 500, Fort Worth, TX 76104-2130 | 2020-05-26 |
| 1891206835 | Rebecca Robles | Clinical Nurse Specialist | 2500 West Fwy Ste 200, Fort Worth, TX 76102-5851 | 2017-10-17 |
| 1134616733 | Randall Matthew Mccoy | Clinical Nurse Specialist | 1400 8th Ave, Fort Worth, TX 76104-4110 | 2018-04-18 |
| 1417221755 | Jennifer A Johnson | Clinical Nurse Specialist | 1001 Pennsylvania Ave, Fort Worth, TX 76104-2228 | 2012-03-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962016519 | Jennie Rose Posey | Clinical Nurse Specialist | 6500 N. Mopac Expressway, Building 3, Suite 200, Austin, TX 78731 | 2020-09-01 |
| 1912561051 | Princess Rollins Holt | Clinical Nurse Specialist | 2300 Highland Village Rd Ste 300, Highland Village, TX 75077-7157 | 2019-04-24 |
| 1538646062 | William Stone | Clinical Nurse Specialist | 1400 Clarewood Dr Apt 325, San Marcos, TX 78666-8034 | 2018-07-26 |
| 1831680040 | Carmen Floy Lagrone | Clinical Nurse Specialist | 6901 Mckinney Falls Pkwy, Austin, TX 78744-8401 | 2018-05-23 |
| 1467970145 | Kimberley Gayle Brooks | Clinical Nurse Specialist | 507 Denali Pass, Cedar Park, TX 78613 | 2017-09-01 |
| 1932637378 | Virginia Ducote Remeny | Clinical Nurse Specialist | 4316 Companeros Way, Austin, TX 78749-3650 | 2017-05-30 |
| 1689101651 | Mary Beth Mollenkopf | Clinical Nurse Specialist | 1130 Hoffman Rd, Seguin, TX 78155-0956 | 2017-05-21 |
| 1821532565 | Equilibre Clinic LLC | Clinical Nurse Specialist | 6025 Metropolitan Dr Ste 210, Beaumont, TX 77706-2409 | 2016-12-15 |
| 1285032656 | Icarepro of Texas, Pa | Clinical Nurse Specialist | 2301 Cedar Ridge Rd, Waco, TX 76708-2347 | 2014-12-16 |
| 1215281738 | Elizabeth Ann White | Clinical Nurse Specialist | 818 East 53rd Street, Austin, TX 78751 | 2012-11-06 |
| Find all providers with the same taxonomy | ||||
| City | FORT WORTH |
| Zip Code | 76107 |
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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.