MARY YOUNG (NPI# 1467843995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467843995 |
| Entity Type | Individual |
| Full Name | MARY YOUNG |
| Credential | RN,BSN |
| Practice Address |
10825 Old Highway 64 Bolivar TN 38008-3599 |
| Mailing Address |
Po Box 670 Bolivar TN 38008-0670 |
| Practice Telephone | 7316585291 |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC1500X |
Registered Nurse Specialization: Community Health |
RN0000129473 | TN | Nursing Service Providers |
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
RN0000129473 | TN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528604360 | Mary Beth Young | Speech-Language Pathologist | 1692 Elm Pl, Clearwater, FL 33755-1317 | 2019-11-26 |
| 1447748637 | Mary Catherine Young | Specialist/Technologist | 585 Longview Dr, Lexington, KY 40503-1707 | 2018-04-24 |
| 1407378789 | Mary Theresa Young | Assistant Behavior Analyst | 5787 Grand Teton Loop, Anchorage, AK 99502-4057 | 2017-07-08 |
| 1902341647 | Mary E Young | Pediatrics | 10119 Gary Rd, Potomac, MD 20854-4109 | 2017-01-04 |
| 1609277391 | Mary Elizabeth Young | Pharmacist | 2700 7th Street, Bay City, TX 77414 | 2014-09-12 |
| 1649618687 | Mary Catherine Young | Registered Nurse | 532 Meridan St, Morgantown, WV 26505 | 2013-06-12 |
| 1093073702 | Mary E Young | Counselor | Lifeworks Counseling Services, 2500 S Broadway, Ste 340b, Edmond, OK 73013 | 2012-05-01 |
| 1841563269 | Mary Young | Physical Therapist | 420 Wharton St, Philadelphia, PA 19147-5227 | 2012-02-15 |
| 1548561525 | Mary C Young | Counselor | 2806 Highway 35 N, Rockport, TX 78382-5711 | 2010-11-08 |
| 1437462827 | Mary Elizabeth Young | Marriage & Family Therapist | 1202 S Fm116 Copperas Cove, Apt 1104, Copperas Cove, TX 76522-3604 | 2010-07-14 |
| Street Address |
10825 OLD HIGHWAY 64 |
| City | BOLIVAR |
| State | TN |
| Zip Code | 38008-3599 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124037379 | Katherine Anne Decolibus | Dentist | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2006-08-05 |
| 1831716257 | Yulando A Taylor | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2020-07-01 |
| 1225669500 | Meghan Curtise Lambert-agnew | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2020-01-27 |
| 1124402698 | Mary Ross | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2015-07-15 |
| 1730590266 | April Smtih | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2014-05-19 |
| 1730590373 | Danielle Mott | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2014-05-16 |
| 1982014593 | Nancy Utley | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2014-05-05 |
| 1477999795 | Janet M Young | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2013-05-14 |
| 1558637678 | Beth Anne Cossar | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2012-03-23 |
| 1770879512 | Jessica Stephenson | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2011-06-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720639172 | Shanna Shackelford | Nurse Practitioner | 11100 Old Hwy 64 W, Bolivar, TN 38008 | 2019-09-26 |
| 1598326233 | Holly Brooke Shourd | Family Medicine | 1359 W Market St., Bolivar, TN 38008 | 2019-06-24 |
| 1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
| 1326595919 | Ashley Evon Jowers | Nurse Practitioner | 11100 Old Hwy 64 West, Bolivar, TN 38008 | 2016-09-01 |
| 1942458344 | Anita Pearl Johnson | Physical Therapy Assistant | 700 Knuckolls Ave, Bolivar, TN 38008 | 2008-08-28 |
| 1841340007 | State of Tennessee | Public Health or Welfare | 10825 Old Hwy 64, Bolivar, TN 38008 | 2007-01-11 |
| 1164479721 | Betty Ragon Lenoir | Physical Therapist | 789 Tennessee St, Bolivar, TN 38008 | 2006-05-28 |
| 1689623050 | County of Hardeman | Ambulance | 735 Naylor St, Bolivar, TN 38008 | 2006-05-10 |
| 1841287109 | Michiel Brent Rudder | Family Medicine | 622 West Market Street, Bolivar, TN 38008 | 2005-10-03 |
| 1982606497 | Richard Mast Reinhard IIi | Pediatrics | 629 Nuckolls Rd, Bolivar, TN 38008 | 2005-08-15 |
| Find all providers in zip 38008 | ||||
| Taxonomy Code | 163WC1500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992299234 | Angela Dawn Haynes | Registered Nurse | 10825 Hwy 64w, Bolivar, TN 38008 | 2018-06-20 |
| 1831716257 | Yulando A Taylor | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2020-07-01 |
| 1225669500 | Meghan Curtise Lambert-agnew | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2020-01-27 |
| 1124402698 | Mary Ross | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2015-07-15 |
| 1730590266 | April Smtih | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2014-05-19 |
| 1730590373 | Danielle Mott | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2014-05-16 |
| 1982014593 | Nancy Utley | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2014-05-05 |
| 1477999795 | Janet M Young | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2013-05-14 |
| 1558637678 | Beth Anne Cossar | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2012-03-23 |
| 1770879512 | Jessica Stephenson | Registered Nurse | 10825 Old Highway 64, Bolivar, TN 38008-3599 | 2011-06-20 |
| Find all providers in BOLIVAR | ||||
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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.