LORI A YOUNG (NPI# 1306867940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306867940 |
Entity Type | Individual |
Full Name | LORI A YOUNG |
Credential | NP |
Practice Address |
1500 Provident Dr Ste A Warsaw IN 46580-3297 |
Mailing Address |
7950 W Jefferson Blvd Suite 2121 Fort Wayne IN 46804-4140 |
Practice Telephone | 5743727637 |
Practice Fax Number | 5743727689 |
Mailing Telephone | 2604078000 |
Mailing Fax Number | 2604078004 |
Enumeration Date | 2006-07-21 |
Last Update Date | 2020-09-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363L00000X | Nurse Practitioner | 71001143 | IN | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71001143A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | 200329130 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
7950 W Jefferson Blvd, Suite 2121, Fort Wayne, IN 468044140 | 2604078000 | 2604078004 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114409182 | Lori Renee Young | Counselor | 1144 N. Buckner, Derby, KS 67037 | 2018-09-05 |
1285016691 | Lori Young | Physician Assistant | 12 James Ln, Levittown, NY 11756-1903 | 2015-06-22 |
1912129511 | Lori Young | Counselor | 10489 N 925th St, Paris, IL 61944-5973 | 2007-05-03 |
1225027048 | Lori Anne Young | Psychologist | 400 Oakbrook Dr, Greensburg, PA 15601-6403 | 2005-10-14 |
1043790157 | Lori Lynn Young | Speech-Language Pathologist | 1101 W Vickery Blvd, Fort Worth, TX 76104-1025 | 2018-08-17 |
1174014047 | Lori J Young | Registered Nurse | 169 5th St Se, Barberton, OH 44203-9003 | 2018-05-25 |
1417393505 | Lori Christine Young | Counselor | 214 W Broad St, Bethlehem, PA 18018-5518 | 2013-05-15 |
1063785772 | Lori L Young | Counselor | 11-21 Broadway St, Gloversville, NY 12078-3968 | 2012-02-13 |
1558632562 | Lori Young | Registered Nurse | 1040 River Oaks Dr, Suite 302, Flowood, MS 39232-9530 | 2012-01-23 |
1124399530 | Lori A Young | Counselor | 820 S 75th St, Omaha, NE 68114-4623 | 2012-01-17 |
Street Address |
1500 PROVIDENT DR STE A |
City | WARSAW |
State | IN |
Zip Code | 46580-3297 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871596858 | Jerry M Parsons | Physician Assistant | 1500 Provident Dr Ste A, Warsaw, IN 46580-3297 | 2005-05-24 |
1548821408 | Amy Marie Fish | Nurse Practitioner | 1500 Provident Dr Ste A, Warsaw, IN 46580-3297 | 2019-06-21 |
1437689783 | Medstat LLC | Clinic/Center | 1500 Provident Dr Ste A, Warsaw, IN 46580-3297 | 2017-06-19 |
1437415064 | Carmen Johnston | Physician Assistant | 1500 Provident Dr Ste A, Warsaw, IN 46580-3297 | 2012-04-09 |
1154365880 | Anita Lynn Alcorn | Nurse Practitioner | 1500 Provident Dr Ste A, Warsaw, IN 46580-3297 | 2006-06-15 |
1447216965 | Scott Harlan Ehmen | Family Medicine | 1500 Provident Dr Ste A, Warsaw, IN 46580-3297 | 2006-04-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346803772 | Amber Rae Parker | Physical Therapy Assistant | 2695 Shelden St., Warsaw, IN 46580 | 2019-04-22 |
1194255794 | Tyler Scott Kronk | Counselor | 105 Enterprise Drive, Warsaw, IN 46580 | 2017-06-15 |
1306244231 | Indiana Physical Therapy, Inc. | Clinic/Center | 3300 Lake City Hwy., Warsaw, IN 46580 | 2014-12-09 |
1922434687 | Yen Thi Vu | Pharmacist | 2400 East Center St, Warsaw, IN 46580 | 2013-09-25 |
1982956934 | Marsha Lynn Dreyer | Occupational Therapy Assistant | 300 E. Prairie Street, Warsaw, IN 46580 | 2012-10-15 |
1215286109 | Planned Parenthood of Indiana Warsaw | Clinic/Center | 630 S. Buffalo St., Suite 1, Warsaw, IN 46580 | 2012-09-06 |
1952636243 | Magdi Gabriel | Orthopaedic Surgery | 2087 Phaesant Ridge Drive, Warsaw, IN 46580 | 2009-10-05 |
1316132996 | Assisted Living Concepts Inc | Assisted Living Facility | 425 Chinworth Court, Warsaw, IN 46580 | 2007-09-07 |
1598986101 | Ericka Ester Haynes | Occupational Therapist | 900 Provident Drive, Warsaw, IN 46580 | 2007-05-01 |
1881819555 | Hartwiger Enterprises, Inc. | Home Health | 3510 Commerce Dr., Warsaw, IN 46580 | 2007-04-16 |
Find all providers in zip 46580 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437776796 | Brandi K Shepherd | Nurse Practitioner | 1315 Fisher Ave, Warsaw, IN 46580-4810 | 2020-07-02 |
1992331300 | Sadye Gonnella | Nurse Practitioner | 34 Dunkin Street, Warsaw, NY 14569 | 2020-03-17 |
1306275896 | Stephanie Wells | Nurse Practitioner | 1210 Provident Dr Ste B, Warsaw, IN 46580-3266 | 2013-11-05 |
1689820870 | Patricia L. Kinkead | Nurse Practitioner | 35391 Jackman Ave, Warsaw, MO 65355-6153 | 2008-08-07 |
1871537480 | Heather Joy Ward | Nurse Practitioner | 1500 Provident Drive, Ste A, Warsaw, IN 46580 | 2006-06-15 |
1821048117 | Vicky M. Beall | Nurse Practitioner | 302 W Main St, Warsaw, KY 41095-9304 | 2006-05-10 |
1699749523 | Carrie M Vangrol | Nurse Practitioner | 86 N Main St, Warsaw, NY 14569-1329 | 2006-02-15 |
1851902621 | Kristen M Bagot | Nurse Practitioner | 2101 Dubois Dr, Warsaw, IN 46580-3210 | 2020-08-13 |
1346878295 | Jacquelyn Janes | Nurse Practitioner | 400 N Main St, Warsaw, NY 14569-1025 | 2020-03-27 |
1184258782 | Michelle Mary Zeches O'neil | Nurse Practitioner | 400 N Main St, Warsaw, NY 14569-1025 | 2020-02-24 |
Find all providers in WARSAW |
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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.