MRS. LINDA LEE YOUNG (NPI# 1548444029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548444029 |
| Entity Type | Individual |
| Full Name | MRS. LINDA LEE YOUNG |
| Other Name | LINDA LEE DERKS |
| Credential | LPN |
| Practice Address |
910 Waterloo Geneva Rd Waterloo NY 13165 |
| Mailing Address |
910 Waterloo Geneva Rd Waterloo NY 13165-1262 |
| Practice Telephone | 3156511519 |
| Mailing Telephone | 3156511519 |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 279003-1 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629680707 | Linda Young | Social Worker | 1520 S Prospect Ave, Park Ridge, IL 60068-5349 | 2020-08-19 |
| 1922217389 | Linda R Young | Psychologist | 1607 116th Ave Ne Ste 110, Bellevue, WA 98004-3042 | 2007-05-22 |
| 1063635894 | Linda Young | Social Worker | 2300 Garrison Blvd Ste 150, Baltimore, MD 21216-2316 | 2007-04-10 |
| 1790803419 | Linda L. Young | Social Worker | 2 Samson Rock Drive, Unit 2g, Madison, CT 06443 | 2007-03-27 |
| 1184776080 | Linda S Young | Nurse Practitioner | 117 Eddie Dowling Hwy Unit B Lowr Level, North Smithfield, RI 02896 | 2007-01-18 |
| 1144330259 | Linda B Young | Social Worker | 1100 Jordan Lane, Suite B, Huntsville, AL 35816-3030 | 2006-08-30 |
| 1841245651 | Linda J Young | Psychologist | 65 Old Springfield Rd, Lebanon, KY 40033-9185 | 2006-05-23 |
| 1437137130 | Linda Sue Young | Nurse Practitioner | 43 Gabriel Dr, Augusta, ME 04330-7852 | 2006-01-04 |
| 1437641057 | Linda Marie Young | Peer Specialist | 110 S Center St, Mount Olive, NC 28365-2124 | 2018-05-30 |
| 1760981989 | Linda Young | Licensed Practical Nurse | 5905 O St, Lincoln, NE 68510-2235 | 2018-02-02 |
| Street Address |
910 WATERLOO GENEVA RD |
| City | WATERLOO |
| State | NY |
| Zip Code | 13165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497284848 | Mary Reese | Registered Nurse | 31 Thurber Drive, Waterloo, NY 13165 | 2017-06-08 |
| 1841738788 | Kristina Marie Metz | Counselor | 31 Thurber Dr., Waterloo, NY 13165 | 2017-02-10 |
| 1902273675 | Elisabeth Rouse | Licensed Practical Nurse | 21 Oak St Apt A., Waterloo, NY 13165 | 2015-08-28 |
| 1164773735 | Stephen Frederick Hartman | Dentist | 107 North Virginia Street, Waterloo, NY 13165 | 2012-09-24 |
| 1417204355 | Ute E Gallert | Nurse Practitioner | 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 | 2012-08-09 |
| 1770803918 | Shelley Reeland | Massage Therapist | 1388 Rt 96 N, Waterloo, NY 13165 | 2010-06-10 |
| 1275856031 | Yecham Kumaraswamy | Pharmacist | 1963 Route 5&20 Street, Waterloo, NY 13165 | 2010-03-09 |
| 1801128632 | David Edward Janack | Pharmacist | 1860 North Road, Waterloo, NY 13165 | 2010-02-04 |
| 1336476753 | Laura Jane Miccuci | Pharmacist | 1963 Routes 5 & 20, Waterloo, NY 13165 | 2009-11-05 |
| 1528203759 | Joanne Farula Corey | Speech-Language Pathologist | 2932 Rt. 96, Waterloo, NY 13165 | 2008-12-02 |
| Find all providers in zip 13165 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699335141 | Stephanie Lynne Leddy | Licensed Practical Nurse | 3815 Yost Rd, Waterloo, NY 13165-9771 | 2019-06-17 |
| 1346777612 | Kelly Marie Labouf | Licensed Practical Nurse | 393 Wagner St Lot 81, Waterloo, NY 13165-6709 | 2017-05-17 |
| 1336683192 | Christine A Statom | Licensed Practical Nurse | 10457 Highway 221 S, Waterloo, SC 29384-3910 | 2016-12-14 |
| 1902273675 | Elisabeth Rouse | Licensed Practical Nurse | 21 Oak St Apt A., Waterloo, NY 13165 | 2015-08-28 |
| 1467837054 | Emilie Benisch | Licensed Practical Nurse | 362 Crestview Dr, Waterloo, WI 53594-1011 | 2015-07-23 |
| 1346629425 | Shannon Bailey-bradley | Licensed Practical Nurse | 119 Stark St, Waterloo, NY 13165-8797 | 2015-05-22 |
| 1528485315 | Christine Elizabeth Butzine | Licensed Practical Nurse | 1020 Portland Rd, Waterloo, WI 53594-9705 | 2014-03-18 |
| 1538433883 | Denise M Harris | Licensed Practical Nurse | 71 E River St, Waterloo, NY 13165-1737 | 2012-03-05 |
| 1659655348 | Kimberly Elaine Cohens | Licensed Practical Nurse | 402 Railroad Ave, Waterloo, NY 13165-1004 | 2011-09-29 |
| 1467746610 | Rebecca L Christian | Licensed Practical Nurse | 184 County Road Tv, Waterloo, WI 53594-9503 | 2011-06-06 |
| Find all providers in WATERLOO | ||||
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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.