KATHERINE DIANE YOUNG (NPI# 1922503622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922503622 |
Entity Type | Individual |
Full Name | KATHERINE DIANE YOUNG |
Credential | FNP C |
Practice Address |
4181 Hospital Dr Ne Ste 401 Covington GA 30014-2541 |
Mailing Address |
4340 Lakeside Blvd Monroe GA 30655-7908 |
Practice Telephone | 4047781153 |
Mailing Telephone | 7705964986 |
Enumeration Date | 2018-03-26 |
Last Update Date | 2019-02-01 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
FO1180184 | GA | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184145880 | Katherine Carew Young | Occupational Therapist | 1122 Camellia Dr, Mount Pleasant, SC 29464-4007 | 2017-07-03 |
1649714387 | Katherine Young | Technician, Other | 5801 Woodview Pass, Midland, MI 48642-7026 | 2016-12-15 |
1396194668 | Katherine Young | Behavioral Analyst | 370 Wesley Ln, Browntown, VA 22610-2640 | 2016-06-08 |
1881925436 | Katherine A. Young | Social Worker | 10808 Lorain Ave, Silver Spring, MD 20901-2608 | 2010-01-21 |
1285861039 | Katherine Young | Nurse Practitioner | 1212 Northpark Ln Ne, Brookhaven, MS 39601 | 2009-06-19 |
1659583664 | Katherine A Young | Speech-Language Pathologist | 8825 Deerland Grove Dr, Raleigh, NC 27615-4174 | 2007-05-03 |
1801011655 | Katherine Ann Young | Audiologist | 7270 Forestview Ln N Ste 225, Maple Grove, MN 55369 | 2007-04-16 |
1780705350 | Katherine Marie Young | Psychiatry & Neurology | 330 Brookline Ave # Rabb-2, Boston, MA 02215-5400 | 2007-04-02 |
1053407742 | Katherine Ann Young | Psychologist | 1943 Windside, West Bloomfield, MI 48324 | 2006-10-04 |
1407951015 | Katherine E Young | Physician Assistant | 2270 Jolly Oak Rd Ste 1, Okemos, MI 48864-6932 | 2006-09-14 |
Street Address |
4181 HOSPITAL DR NE STE 401 |
City | COVINGTON |
State | GA |
Zip Code | 30014-2541 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235645037 | Veronica S Jackson | Nurse Practitioner | 4181 Hospital Dr Ne Ste 401, Covington, GA 30014-2541 | 2017-12-17 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
Find all providers in zip 30014 |
Taxonomy Code | 363LP2300X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225638737 | Dpdnp, LLC | Nurse Practitioner | 1264 Avenue Du Chateau, Covington, LA 70433-6423 | 2020-10-26 |
1760966691 | Sharelle Robinson | Nurse Practitioner | 1776 Continental Dr Unit 1121, Covington, LA 70433-7289 | 2018-09-17 |
1548727522 | Christy Taylor Goforth | Nurse Practitioner | 1997 Highway 51 S, Covington, TN 38019-3630 | 2019-02-26 |
1447796552 | Brad Danos | Nurse Practitioner | 301 N Highway 190, Covington, LA 70433-5016 | 2017-01-12 |
1528316395 | Bonnie Koepp | Nurse Practitioner | 915 W 13th Ave, Covington, LA 70433 | 2012-08-27 |
1679862619 | Dana D Homeyer | Nurse Practitioner | 6175 Newton Dr Ne, Covington, GA 30014-2690 | 2011-03-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639784788 | Natasha Allen | Nurse Practitioner | 4177 Pelham Cir, Lithonia, GA 30038-6140 | 2020-09-14 |
1336753920 | Henny P Brown | Nurse Practitioner | 3430 Ridgeland Pl, Alpharetta, GA 30004-8483 | 2020-09-01 |
1487267415 | Alethea Hope Tucker | Nurse Practitioner | 3685 Braselton Hwy Ste 100, Dacula, GA 30019-5920 | 2020-08-28 |
1952913808 | Carol Jo Wilbanks | Nurse Practitioner | 206 Crest Dr, Rock Spring, GA 30739-2041 | 2020-08-21 |
1164032017 | Myiesha Sellers Mcfarlin | Nurse Practitioner | 55 Sellers Ln, Baxley, GA 31513-2208 | 2020-08-05 |
1124645395 | Kisha Smalley | Nurse Practitioner | 117 Gambier Cv, Mcdonough, GA 30252-6273 | 2020-07-02 |
1346861127 | Finan Tedla | Nurse Practitioner | 2626 Peachtree Rd Nw Unit 1802, Atlanta, GA 30305-5633 | 2020-05-03 |
1841819547 | Millicent Charte Duncan | Nurse Practitioner | 138 Parkview Rd, Savannah, GA 31419-9672 | 2020-04-13 |
1891329660 | Tracey Lynn Murray | Nurse Practitioner | 980 Johnson Ferry Rd Ste 880, Sandy Springs, GA 30342-1609 | 2020-03-02 |
1841820917 | Vedic Family Practice and Wellness | Nurse Practitioner | 1240 Upper Hembree Rd Ste E, Roswell, GA 30076-0914 | 2020-01-17 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on KATHERINE DIANE 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.