KELLY M YOUNG


Address: 3917 West Rd, Ste. A, Los Alamos, NM 87544-2275
Phone: 5056618900

KELLY M YOUNG (NPI# 1245679000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1245679000
Entity Type Individual
Full Name KELLY M YOUNG
Credential RN, CNP
Practice Address 3917 West Rd
Ste. A
Los Alamos
NM 87544-2275
Practice Telephone 5056618900
Practice Fax Number 5056618987
Mailing Telephone 5056618900
Mailing Fax Number 5056618987
Enumeration Date 2013-06-14
Last Update Date 2013-06-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN-77457 NM Nursing Service Providers
Y 363L00000X Nurse Practitioner CNP-02180 NM Physician Assistants & Advanced Practice Nursing Providers

Other Providers KELLY YOUNG

NPI Name Taxonomy Address Enumeration
1063058600 Kelly Young Registered Nurse 501 Howard Ave Ste D, Altoona, PA 16601-4810 2019-11-19
1861842700 Kelly Michelle Young Physician Assistant 2424 Erwin Rd Ste 201, Durham, NC 27705-3825 2016-06-21
1508216631 Kelly Young Marriage & Family Therapist 7350 Heritage Village Plz Unit 102, Gainesville, VA 20155-3085 2016-06-20
1013394865 Kelly Ann Young Dietitian, Registered 1380 El Cajon Blvd, El Cajon, CA 92020-5703 2015-04-30
1306144167 Kelly Marie Young Counselor 201 Houston St Ste 104, Batavia, IL 60510-1960 2011-03-03
1164736641 Kelly Young Physical Therapy Assistant 396 Lake Nepessing Rd., Lapeer, MI 48446-2910 2010-07-27
1922246099 Kelly Young Social Worker 3140 Tarrant Ln, Plano, TX 75025-5291 2009-01-28
1265682801 Kelly Shannon Young Physical Therapist 1151 Robeson Street, Fall River, MA 02720-5566 2008-09-19
1851598833 Kelly Elizabeth Young Dentist 2005 Saint Charles St Ste 5, Jasper, IN 47546-9146 2007-07-02
1053924423 Kelly Lee Young Technician 87 Swierkos Dr, Moundsville, WV 26041-4209 2020-08-26

Office Location

Street Address 3917 WEST RD
STE. A
City LOS ALAMOS
State NM
Zip Code 87544-2275

Providers in the same location

NPI Name Taxonomy Address Enumeration
1225031321 Jan M Merin Internal Medicine 3917 West Rd, Los Alamos, NM 87544-2275 2005-05-23
1366089237 Gonzalo A Diaz Internal Medicine 3917 West Rd, Los Alamos, NM 87544-2275 2019-12-10
1124576327 Clay Schneider Nurse Practitioner 3917 West Rd, Los Alamos, NM 87544-2275 2016-09-15
1093167330 Laura K Merrigan Nurse Practitioner 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 2016-07-11
1043675473 Total Renal Care Inc Clinic/Center 3917 West Rd, Ste G-02, Los Alamos, NM 87544-2275 2015-12-30
1225414253 Sarah Versackas Registered Nurse 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 2015-07-31
1700273745 Apogee Medical Group General Acute Care Hospital 3917 West Rd, Los Alamos, NM 87544-2275 2015-04-16
1679965883 Los Alamos Emergency Medical Associates Inc Emergency Medicine 3917 West Rd, Los Alamos, NM 87544-2275 2015-02-25
1659773612 Eric Jonathan Krinsky Physician Assistant 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 2014-09-22
1740681311 Robin Jean Norman Physician Assistant 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 2014-09-14
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1679945935 Zia Home Health Home Health 1475 Central Ave., Suite 125, Los Alamos, NM 87544 2015-10-27
1295131167 Sara Pocernik Dietitian, Registered 1450 Iris Street, Los Alamos, NM 87544 2014-11-05
1760824890 Lisa Renee Marr Lyon Psychologist 3917 West Road, Suite 128, Children's Clinic, P.a., Los Alamos, NM 87544 2013-07-17
1558629725 Rachel Meyer Dentist 112 Central Park Square, Los Alamos, NM 87544 2012-04-25
1902183908 Susana T. Chavarria Occupational Therapist 5 Quemazon Pl., Los Alamos, NM 87544 2011-11-04
1881998664 Dr. Tom Child and Adolescent Medicine Pediatrics Los Alamos Medical Center, 3917 West Rd, Suite M250, Los Alamos, NM 87544 2011-01-07
1952565905 Dawn Judy Barr Social Worker 3 Agila Ct, Los Alamos, NM 87544 2008-07-17
1649452129 Ellen Vandergust Ballard Dentist 111 Longview, Suite B-3, White Rock, NM 87544 2007-11-27
1629290283 Wildwind Dental Dentist 111 Longview Drive, Suite B3, Los Alamos, NM 87544 2007-05-03
1255407342 Sarah Sue Teasdale Counselor 1362 C Trinity Dr, Los Alamos, NM 87544 2006-11-28
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1457881625 Sara E Mcevers Nurse Practitioner 3917 West Rd Ste A, Los Alamos, NM 87544-2292 2017-06-19
1013378272 Deborah Hardin Nurse Practitioner 118 Central Park Sq, Los Alamos, NM 87544-4021 2016-03-16
1194968081 National Sinus Institute Pllc Nurse Practitioner 3917 West Rd, Los Alamos, NM 87544-2275 2009-04-08
1649300781 Karen Miller Nurse Practitioner 3917 West Rd, Suite A, Los Alamos, NM 87544-2275 2007-03-07
1194740555 Joan Q Mcclelland Nurse Practitioner 3917 West Rd, Suite 150, Los Alamos, NM 87544-2275 2006-07-13

Providers in the same taxonomy and state

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1720606882 Mountain Desert Health LLC Nurse Practitioner 2200 Panola St Sw, Albuquerque, NM 87121-2582 2020-07-06
1851915961 Jennifer Leandra Alterson Nurse Practitioner 1111 10th St # 469, Alamogordo, NM 88310-6413 2020-06-04
1912538844 Lorine Derusha Nurse Practitioner 625 Silver Ave Sw Fl 2, Albuquerque, NM 87102-3123 2020-01-29
1447899463 Brenda Lee Fuselier Nurse Practitioner 530 S Roosevelt Road V, Portales, NM 88130-9121 2019-12-23
1295374247 Thomas William Cox Nurse Practitioner 12812 Constitution Ave Ne Apt 2, Albuquerque, NM 87112-6142 2019-12-21
1730720632 Carmen Caterina Marcolina Nurse Practitioner 4201 Central Ave Nw # 3, Albuquerque, NM 87105-1630 2019-10-01
1528617446 Nm Stem Cell, LLC Nurse Practitioner 4111 Barbara Loop Se # C-2, Rio Rancho, NM 87124-1068 2019-09-04
1851955488 Vanessa Marie Tapia Nurse Practitioner 4365 Malaga St, Las Cruces, NM 88011-4341 2019-04-29
1700349834 Heather Marie Pink Nurse Practitioner 7802b Ironwood Ct Se, Albuquerque, NM 87116-1135 2019-04-06
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Competitor

Search similar providers

City LOS ALAMOS
Zip Code 87544

Improve Information

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Dataset Information

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.

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