JENNIFER YOUNG (NPI# 1134664121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134664121 |
| Entity Type | Individual |
| Full Name | JENNIFER YOUNG |
| Credential | N.P. |
| Practice Address |
425 Pine Ridge Blvd Wausau WI 54401 |
| Mailing Address |
425 Pine Ridge Blvd Po Box 1395 Wausau WI 54401-4123 |
| Practice Telephone | 7158472000 |
| Mailing Telephone | 7158472000 |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2019-12-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 7364 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970663 | Jennifer Young | Counselor | 3490 Us Highway 1 Ste 11, Princeton, NJ 08540-5920 | 2020-10-21 |
| 1083236467 | Jennifer Young | Speech-Language Pathologist | 145 Parkside Ave, Manchester, NH 03102-3603 | 2020-05-08 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1629518428 | Jennifer L Young | Physical Therapist | 12822 Del Corso Loop, Bradenton, FL 34211-8434 | 2017-02-28 |
| 1689125510 | Jennifer Young | Assistant Behavior Analyst | 2000 Cheatham Dam Rd, Charlotte, TN 37036-5033 | 2016-10-15 |
| 1336528389 | Jennifer Susan Young | Counselor | 503 Natoma St, Folsom, CA 95630-2523 | 2015-05-22 |
| 1659762573 | Jennifer Young | Counselor | 8887 Cr 647s, Bushnell, FL 33513-7435 | 2015-02-13 |
| 1760887178 | Jennifer Young | Nurse's Aide | 10546 Clairdoan Ave, Cleveland, OH 44108-1310 | 2014-10-28 |
| 1306181144 | Jennifer Lyn Young | Registered Nurse | 801 Trail Road, Sedro Woolley, WA 98284-8563 | 2012-12-05 |
| 1093063380 | Jennifer Ellen Young | Physician Assistant | 2301 S Clear Creek Rd Ste 206, Killeen, TX 76549-4119 | 2012-08-17 |
| Street Address |
425 PINE RIDGE BLVD |
| City | WAUSAU |
| State | WI |
| Zip Code | 54401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679573463 | David Albert Nash | Physician Assistant | 425 Pine Ridge Blvd, Ste 209, Wausau, WI 54401-4123 | 2005-07-22 |
| 1518471838 | Sara Belle Starr | Nurse Practitioner | 425 Pine Ridge Blvd, Wausau, WI 54401-4123 | 2017-11-22 |
| 1346768009 | James Kenneth Harris | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Wausau, WI 54401-4123 | 2017-09-01 |
| 1255878237 | Jonathan A Levin | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2017-01-27 |
| 1013453497 | Elliott Adent | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2017-01-10 |
| 1164967568 | Zjia Anita Manzanares Evans | Registered Nurse | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2016-12-21 |
| 1255704763 | Kimberly Kramer | Nurse Anesthetist, Certified Registered | 425 Pine Ridge Blvd, Suite 211, Wausau, WI 54401-4123 | 2015-11-05 |
| 1982071270 | Wendy J Mattlin | Nurse Practitioner | 425 Pine Ridge Blvd, Suite220a, Wausau, WI 54401-4123 | 2015-08-21 |
| 1750770640 | Amy Jo Hanneman | Nurse Practitioner | 425 Pine Ridge Blvd, Suite 300, Wausau, WI 54401-4123 | 2015-01-14 |
| 1265831226 | Connie Metz | Nurse Practitioner | 425 Pine Ridge Blvd, Ste 200, Wausau, WI 54401-4123 | 2014-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031464 | Central Wisconsin Endodontic Specialists LLC | Dentist | 2606 Stewart Avenue, #102, Wausau, WI 54401 | 2020-07-23 |
| 1376161976 | Family Foot and Ankle Clinic LLC | Podiatrist | 1901 Westwood Boulevard, Wausau, WI 54401 | 2020-07-09 |
| 1336701895 | Amy Kluetz | Counselor | 3000 Westhill Drive, Suite 100, Wausau, WI 54401 | 2019-07-05 |
| 1437640877 | Joseph T Fitz | Student in an Organized Health Care Education/Training Program | Aspirus Wausau Family Medicine, 425 Wind Ridge Drive, Wausau, WI 54401 | 2018-05-22 |
| 1699293241 | Amanda Nedd | Dietitian, Registered | 425 Pine Ridge Boulevard Suite 220 C, Wausau, WI 54401 | 2017-09-05 |
| 1396287447 | Dee Cha | Nurse Anesthetist, Certified Registered | 4851 Rachel Ln Apt 5, Wausau, WI 54401 | 2016-11-07 |
| 1013389618 | Grace Lutheran Foundation Inc | Skilled Nursing Facility | 2727 Plaza Dr., Wausau, WI 54401 | 2015-10-22 |
| 1881091163 | Judy Lao | Dental Hygienist | 413 North 17th Avenue, Wausau, WI 54401 | 2014-12-02 |
| 1295012011 | Allison Waraksa | Pharmacist | 504 S. 17th Ave, Wausau, WI 54401 | 2011-11-08 |
| 1881974053 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 504 S 17th Ave, Wausau, WI 54401 | 2011-08-19 |
| Find all providers in zip 54401 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134265739 | Russell W. Creel | Nurse Practitioner | 400 Westwood Dr, Wausau, WI 54401-7801 | 2007-01-30 |
| 1467068031 | Carissa Marie Neuman | Nurse Practitioner | 510 N 17th Ave, Wausau, WI 54401-4200 | 2020-09-18 |
| 1518577261 | Erica R Ciulla | Nurse Practitioner | 2720 Plaza Dr Ste 2100, Wausau, WI 54401-4157 | 2020-08-07 |
| 1740825926 | Denise Darlene Mcmahan | Nurse Practitioner | 3605 Stewart Ave, Wausau, WI 54401-4938 | 2019-11-12 |
| 1750848370 | Katie A Gilbert | Nurse Practitioner | 510 N 17th Ave Ste A, Wausau, WI 54401-4254 | 2019-03-01 |
| 1609340561 | Lisa Marie Werner | Nurse Practitioner | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2019-01-14 |
| 1134607781 | Jessika Jean Jamgochian | Nurse Practitioner | 333 Pine Ridge Blvd, Wausau, WI 54401-4187 | 2018-08-04 |
| 1265923098 | Jennifer Dorothy Yurish | Nurse Practitioner | 3300 Westhill Dr, Wausau, WI 54401-4710 | 2018-05-29 |
| 1518471838 | Sara Belle Starr | Nurse Practitioner | 425 Pine Ridge Blvd, Wausau, WI 54401-4123 | 2017-11-22 |
| 1548613581 | Diane Mary Alber | Nurse Practitioner | 2727 Plaza Dr, Wausau, WI 54401-4129 | 2016-07-14 |
| Find all providers in WAUSAU | ||||
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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.