CAITLIN C YOUNG (NPI# 1669989000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1669989000 |
Entity Type | Individual |
Full Name | CAITLIN C YOUNG |
Credential | NP |
Practice Address |
101 St. Joseph's Candler Drive Suite 200 Pooler GA 31322 |
Mailing Address |
836 E. 65th Street Suite 20 Savannah GA 31405 |
Practice Telephone | 9127481999 |
Practice Fax Number | 9127483847 |
Mailing Telephone | 9128197878 |
Mailing Fax Number | 9128193555 |
Enumeration Date | 2018-01-08 |
Last Update Date | 2019-05-20 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN224811 | GA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 003202780B | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
105 Grand Central Blvd Ste 101, Pooler, GA 31322 | 9127481999 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265718142 | Caitlin Marie Young | Midwife | 968 Grand Ave., St. Paul, MN 55105 | 2011-10-24 |
1366064966 | Caitlin Young | Occupational Therapy Assistant | 4560 South Blvd Ste 310, Virginia Beach, VA 23452-1160 | 2020-05-18 |
1043857964 | Caitlin Young | Marriage & Family Therapist | 300 Ilene St, Martinez, CA 94553-2631 | 2019-12-10 |
1790242071 | Caitlin Elizabeth Young | Registered Nurse | 1555 N 17th Ave, Greeley, CO 80631-9117 | 2019-02-22 |
1962929950 | Caitlin Young | Registered Nurse | 14350 Se Eastgate Way, Bellevue, WA 98007-6458 | 2017-08-29 |
1376906008 | Caitlin Scarlett Young | Occupational Therapist | 51 Saint Johns Parkside St, Buffalo, NY 14210-2515 | 2016-03-31 |
1508259565 | Caitlin Margaret Young | Physician Assistant | 801 Ostrum St, Bethlehem, PA 18015-1000 | 2015-03-13 |
1073911541 | Caitlin Young | Student in an Organized Health Care Education/Training Program | 400 Groton Rd, Ayer, MA 01432-1171 | 2014-12-15 |
1619305216 | Caitlin Young | Behavioral Analyst | 6867 Southpoint Dr N, Ste 101, Jacksonville, FL 32216 | 2013-10-17 |
1700210820 | Caitlin Virginia Maurer Young | Marriage & Family Therapist | 3415 Se Powell Blvd, Portland, OR 97202-3371 | 2013-08-26 |
Street Address |
101 ST. JOSEPH'S CANDLER DRIVE SUITE 200 |
City | POOLER |
State | GA |
Zip Code | 31322 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023002730 | Dolores J Haviland-foley | Family Medicine | 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 | 2005-09-08 |
1134770787 | Melissa Susan Vaughan | Nurse Practitioner | 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 | 2019-09-25 |
1518316207 | Andrew S Mrugala | Family Medicine | 101 St. Joseph's Candler Drive, Suite 22, Pooler, GA 31322 | 2016-06-03 |
1124412317 | Knar H Mesrobian | Family Medicine | 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 | 2015-03-25 |
1104081082 | Russell William Lake | Family Medicine | 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 | 2008-07-21 |
1528088648 | Steven D Bischof | Family Medicine | 101 St. Joseph's Candler Drive, Suite 200, Pooler, GA 31322 | 2006-07-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427518745 | Quinate Pharmacy LLC | Pharmacy | 1557 Pooler Pkwy, Suite 400, Pooler, GA 31322 | 2019-03-22 |
1396202495 | Rucker Holdings | Durable Medical Equipment & Medical Supplies | 210 Grand Central Blvd, Pooler, GA 31322 | 2019-02-25 |
1306301841 | Altamaha Dme, Inc | Durable Medical Equipment & Medical Supplies | 1557 Pooler Parkway, Suite 300, Pooler, GA 31322 | 2019-02-08 |
1750859351 | Bombery Chiropractic LLC | Chiropractor | 122 Canal St. Ste 109, Pooler, GA 31322 | 2018-11-13 |
1407347891 | Georgia Dental Professionals, PC | Dentist | 2140 Pooler Pkwy, Pooler, GA 31322 | 2018-05-22 |
1730685439 | Monali Patel | Optometrist | 276 Pooler Pkwy Ste B, Pooler, GA 31322 | 2018-04-02 |
1144747023 | Publix Super Markers, Inc | Durable Medical Equipment & Medical Supplies | 101 Blue Moon Crossing, Pooler, GA 31322 | 2017-08-23 |
1063932408 | The Range Physical Therapy, LLC | Clinic/Center | 10801 County Line Rd, Madison, AL 31322 | 2017-06-27 |
1285154427 | Pooler Physical Therapy LLC | Clinic/Center | 101 Shepherd Way, Pooler, GA 31322 | 2017-06-20 |
1578009130 | Georgia Cvs Pharmacy L.l.c | Durable Medical Equipment & Medical Supplies | 500 Pooler Pkwy, Pooler, GA 31322 | 2017-01-06 |
Find all providers in zip 31322 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407463615 | Precious Sonaike | Nurse Practitioner | 7 Briarcliff Way, Pooler, GA 31322-9636 | 2020-09-30 |
1760004667 | Kelli Marie Thompson | Nurse Practitioner | 122 Canal St Ste 104, Pooler, GA 31322-4408 | 2020-05-13 |
1376175364 | Harriet Lee Walsh | Nurse Practitioner | 2200 Old Quacco Rd Apt 8300, Pooler, GA 31322-0697 | 2020-02-07 |
1992358485 | Amber Clark | Nurse Practitioner | 1254 Homer City Way, Pooler, GA 31322-3320 | 2019-07-23 |
1467914945 | Laduana Bradley | Nurse Practitioner | 156 Somersby Blvd, Pooler, GA 31322-9380 | 2019-04-03 |
1891244661 | Alexandria Copeland Brooks | Nurse Practitioner | 135 Canal St, Pooler, GA 31322-4079 | 2016-09-22 |
1144699943 | Salaethia Martria Crawford | Nurse Practitioner | 1000 Towne Center Blvd Ste 602, Pooler, GA 31322 | 2015-09-22 |
1588042535 | Shayla Raines | Nurse Practitioner | 2155 Benton Blvd, Apt 3204, Pooler, GA 31322-1991 | 2015-05-11 |
1073803326 | Anny Most | Nurse Practitioner | 1215 Us Highway 80 E, Pooler, GA 31322-9562 | 2011-04-07 |
1942438189 | Marci Ann Woo-sheffield | Nurse Practitioner | 107 Canal St, Pooler, GA 31322-4016 | 2009-06-25 |
Find all providers in POOLER |
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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.