LAURIE YOUNG (NPI# 1396143624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396143624 |
| Entity Type | Individual |
| Full Name | LAURIE YOUNG |
| Practice Address |
170 Governors Ave Medford MA 02155-1643 |
| Practice Telephone | 7819792424 |
| Practice Fax Number | 7813387557 |
| Mailing Telephone | 7819792424 |
| Mailing Fax Number | 7813387557 |
| Enumeration Date | 2014-12-19 |
| Last Update Date | 2015-08-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
RN228119 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164819249 | Laurie Young | Social Worker | 709 Idaho St, Deer Lodge, MT 59722-1339 | 2015-04-16 |
| 1821302712 | Laurie A Young | Preferred Provider Organization | 2800 Cleveland Ave N, Roseville, MN 55113-1126 | 2010-08-03 |
| 1447421409 | Laurie Elizabeth Buskirk Young | Nurse Practitioner | 806 Garfield St, Tupelo, MS 38801-5749 | 2008-03-18 |
| Street Address |
170 GOVERNORS AVE |
| City | MEDFORD |
| State | MA |
| Zip Code | 02155-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841290467 | Melrosewakefield Healthcare, Inc. | General Acute Care Hospital | 170 Governors Ave, Medford, MA 02155-1643 | 2005-07-26 |
| 1255964391 | Hallmark Health Medical Associates Inc | Psychologist | 170 Governors Ave, Medford, MA 02155-1643 | 2020-02-18 |
| 1205473592 | Melrosewakefield Healthcare, Inc. | Clinic/Center | 170 Governors Ave, Medford, MA 02155-1643 | 2019-12-05 |
| 1801431754 | John Norcross | Occupational Therapist | 170 Governors Ave, Medford, MA 02155-1643 | 2019-11-14 |
| 1770029670 | Kayla Rose | Registered Nurse | 170 Governors Ave, Medford, MA 02155-1643 | 2017-01-16 |
| 1326403809 | Ying Ma | Nurse Practitioner | 170 Governors Ave, Medford, MA 02155-1643 | 2015-12-28 |
| 1912325754 | Yesodarao and Associates LLC | Internal Medicine | 170 Governors Ave, Medford, MA 02155-1643 | 2014-03-30 |
| 1124364872 | Andrea Messina | Nurse Practitioner | 170 Governors Ave, Medford, MA 02155-1643 | 2012-12-28 |
| 1124362389 | Michelle Vidal | Social Worker | 170 Governors Ave, Lawrence Memorial Hospital, Medford, MA 02155-1643 | 2012-11-12 |
| 1548517063 | Marie Donalde Candy | Nurse Practitioner | 170 Governors Ave, Hallmark Health System, Inc., Medford, MA 02155-1643 | 2012-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679113922 | Elena Chapman | Nurse Practitioner | 293 Salem St 4, Medford, MA 02155 | 2020-01-14 |
| 1922658830 | Michelle Anne Zona | Counselor | 100 George Hassett Dr, Medford, MA 02155 | 2019-09-13 |
| 1487138509 | Dava Davainis | Social Worker | 76 Newbern Avenue, Apt. 1, Medford, MA 02155 | 2018-09-25 |
| 1265915128 | Erin Roberts | Counselor | Medford Public Schools, 3002 Mystic Valley Pkwy, Medford, MA 02155 | 2018-09-07 |
| 1871075739 | Janice Madeline Cole | Social Worker | 3820 Mystic Valley Pkwy Unit 805, Medford, MA 02155 | 2018-09-06 |
| 1447732573 | Mystick Women's Health, Inc. | Obstetrics & Gynecology | 13 Bradlee Road, Medford, MA 02155 | 2018-09-05 |
| 1144713090 | Laura Rogers | Psychologist | 203 Paige Hall, 12 Upper Campus Road, Medford, MA 02155 | 2018-06-14 |
| 1871086694 | Shuo Yang | Dentist | 8 9th St Apt 310, Medford, MA 02155 | 2018-06-07 |
| 1891287108 | Xuhua Qin | Psychologist | 120 Curtis Street, Medford, MA 02155 | 2018-06-01 |
| 1568953529 | Cvs Pharmacy, Inc. | Durable Medical Equipment & Medical Supplies | 471 Salem St, Medford, MA 02155 | 2018-05-25 |
| Find all providers in zip 02155 | ||||
| Taxonomy Code | 363LG0600X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417581315 | Well Spring Health LLC | Nurse Practitioner | 835 Crater Lake Ave, Medford, OR 97504-6505 | 2020-02-28 |
| 1861926586 | Dashia Hewitt | Nurse Practitioner | 825 Bennett Ave, Medford, OR 97504-6715 | 2017-04-19 |
| 1811393648 | Cynthia Wallace | Nurse Practitioner | 1111 Crater Lake Ave, Medford, OR 97504-6241 | 2014-11-05 |
| 1427181767 | Landa Rhoda Cox | Nurse Practitioner | 1200 Mira Mar Ave, Medford, OR 97504-8546 | 2007-03-14 |
| 1376521369 | Stacey Bryant | Nurse Practitioner | 170 Governors Ave, Hallmark Health System, Inc., Medford, MA 02155-1643 | 2006-01-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669018370 | Ashley Erin Dimauro | Nurse Practitioner | 155 Federal St Ste 700, Boston, MA 02110-1727 | 2019-11-18 |
| 1780228924 | Jeffrey J Benoit | Nurse Practitioner | 103 Upper Rd, Deerfield, MA 01342-9739 | 2019-10-31 |
| 1962064626 | Katharine Kingsley Campbell | Nurse Practitioner | 50 Orchardhill Rd, Jamaica Plain, MA 02130-3725 | 2019-07-02 |
| 1124502737 | Rebecca Gaffney | Nurse Practitioner | 200 Mill Rd Ste 190, Fairhaven, MA 02719-5259 | 2018-09-19 |
| 1154821114 | Caroline Namuzinda Mawanda | Nurse Practitioner | 8 Baron Park Ln Apt 20, Burlington, MA 01803-5453 | 2018-02-16 |
| 1205334588 | Mary Torkornoo | Nurse Practitioner | 430 Massasoit Rd, Worcester, MA 01604-3546 | 2018-01-31 |
| 1508374406 | Kristin Tyrrell Chouinard | Nurse Practitioner | Home Md, 75 Sylvan St., Danvers, MA 01923-0192 | 2018-01-14 |
| 1962921379 | Krysta L Doucette | Nurse Practitioner | 47 High Street Suite 101, North Andover, MA 01845-5201 | 2017-09-18 |
| 1366961310 | Christine Anna Corallino | Nurse Practitioner | 14 Foster Street, #3, Boston, MA 02109 | 2017-09-11 |
| 1922546407 | Lisa Marie Joyce | Nurse Practitioner | 321 Manley St, West Bridgewater, MA 02379 | 2017-02-06 |
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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.