JESSICA YOUNG (NPI# 1952787806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952787806 |
Entity Type | Individual |
Full Name | JESSICA YOUNG |
Credential | APRN-CNP |
Practice Address |
5401 N Portland Ave Suite 220 Oklahoma City OK 73112-2121 |
Practice Telephone | 4056044321 |
Practice Fax Number | 4056044331 |
Mailing Telephone | 4056044321 |
Mailing Fax Number | 4056044331 |
Enumeration Date | 2015-08-03 |
Last Update Date | 2016-02-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 77158 | OK | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
77158 | OK | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508464736 | Jessica Young | Registered Nurse | 2648 W 21st St Apt 2f, Chicago, IL 60608-4080 | 2020-10-10 |
1083220321 | Jessica Dawn Young | Occupational Therapist | 5200 S Macadam Ave, Portland, OR 97239-6103 | 2020-09-22 |
1992345243 | Jessica Young | Speech-Language Pathologist | 400 W Washington, Chrisman, IL 61924 | 2020-01-14 |
1841786688 | Jessica Leigh Young | Registered Nurse | 900 Ne 139th St Ste 206, Vancouver, WA 98685-2519 | 2018-07-05 |
1700310042 | Jessica Young | Massage Therapist | 2805 E Ledbetter Dr Apt 201, Dallas, TX 75216-7553 | 2017-04-13 |
1063953651 | Jessica Nicole Stajdohar Young | Developmental Therapist | 7625 Gladstone Dr, Unit 101, Naperville, IL 60565-1122 | 2017-03-15 |
1649715285 | Jessica Young | Speech-Language Pathologist | 50 Lucille Dr, Cheektowaga, NY 14225-2244 | 2017-01-05 |
1962944165 | Jessica Young | Behavior Technician | 2503 Wheeler Groves Dr, Seffner, FL 33584-5896 | 2016-11-06 |
1720537913 | Jessica Young | Nurse Practitioner | 4722 N Gerhart Rd, Tucson, AZ 85745-9696 | 2016-09-28 |
1881062206 | Jessica Nicole Young | Specialist/Technologist | 7163 Basswood Dr, West Chester, OH 45069-3030 | 2015-09-02 |
Street Address |
5401 N PORTLAND AVE SUITE 220 |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73112-2121 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306827464 | Oklahoma Surgery and Urology Center | Clinic/Center | 5401 N Portland Ave, Suite 100, Oklahoma City, OK 73112-2082 | 2005-11-07 |
1639618754 | Oklahoma Mobile Lithotripter Associates, L.c. | Clinic/Center | 5401 N Portland Ave, Suite 640, Oklahoma City, OK 73112-2121 | 2017-02-22 |
1306397658 | Infectious Disease Associates LLC | General Acute Care Hospital | 5401 N Portland Ave, Suite 220, Oklahoma City, OK 73112-2121 | 2016-10-21 |
1336697432 | Grand Primary Care Clinics | Nurse Practitioner | 5401 N Portland Ave, Suite 270, Oklahoma City, OK 73112-2121 | 2016-09-17 |
1558735654 | Hunter's Specialty Pharmacy LLC | Pharmacy | 5401 N Portland Ave, Suite 250, Oklahoma City, OK 73112-2121 | 2015-11-30 |
1871960195 | Coordinated Care Health Solutions, LLC | Clinical Medical Laboratory | 5401 N Portland Ave, Suite 260, Oklahoma City, OK 73112-2121 | 2015-08-24 |
1750518601 | Deaconess Physician Services LLC | Durable Medical Equipment & Medical Supplies | 5401 N Portland Ave, Suite 410, Oklahoma City, OK 73112-2121 | 2009-06-18 |
1982848719 | Bushra Siddique | Internal Medicine | 5401 N Portland Ave, Suite 220, Oklahoma City, OK 73112-2121 | 2009-04-23 |
1629223771 | Jerry R. Teel, Phd PC | Audiologist-Hearing Aid Fitter | 5401 N Portland Ave, Suite 540, Oklahoma City, OK 73112-2121 | 2008-11-17 |
1497926281 | Deaconess Physician Services LLC | Durable Medical Equipment & Medical Supplies | 5401 N Portland Ave, Suite 390, Oklahoma City, OK 73112-2121 | 2008-03-19 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972145886 | Crystopher J Long | Physical Therapist | Parkway Post Acute Recovery Center, 6312 N Portland, Oklahoma City, OK 73112 | 2019-10-11 |
1700448974 | Joy Healthcare Services of Okc LLC | Home Health | 4200 Perimeter Center Drive, Suite 125, Oklahoma City, OK 73112 | 2019-07-08 |
1801380159 | Crysten Cheatwood Do, PC | Obstetrics & Gynecology | 3433 Nw 56 Street, Suite 210b, Oklahoma City, OK 73112 | 2018-06-20 |
1306352521 | Victoria Ann Kappel | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3466 Nw 56th St. Suite 760, Oklahoma City, OK 73112 | 2017-12-26 |
1871014886 | Tanesia Michelle Smith | Case Management | 2629 W I44 Service Rd, Suite 202, Oklahoma City, OK 73112 | 2017-06-29 |
1619414257 | Edwige Gwanyama | Student in an Organized Health Care Education/Training Program | 2401 Nw 39 Th Expy Ste 103, Oklahoma City, OK 73112 | 2017-01-20 |
1619424017 | Jennifer Beaver | Peer Specialist | 2808 Nw 31st, Oklahoma City, OK 73112 | 2016-09-02 |
1417305368 | Gabriel Plank | Counselor | 3000 Founders Blvd Suite239, Oklahoma City, OK 73112 | 2016-06-01 |
1912364365 | Sams East Inc | Durable Medical Equipment & Medical Supplies | 4101 N May Ave, Oklahoma City, OK 73112 | 2016-01-15 |
1679938922 | Portland Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | 5501 N Porland Ave, Oklahoma City, OK 73112 | 2015-12-30 |
Find all providers in zip 73112 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700483302 | Terri Lynn Quintero | Nurse Practitioner | 15701 S Pennsylvania Ave, Oklahoma City, OK 73170-8713 | 2020-10-06 |
1952917239 | Philomina Philipose | Nurse Practitioner | 8805 Nw 116th St, Oklahoma City, OK 73162-2220 | 2020-09-21 |
1376158295 | Ligi Abraham | Nurse Practitioner | 4200 W Memorial Rd Ste 206, Oklahoma City, OK 73120-8305 | 2020-09-09 |
1487266532 | Carla Jo Walker | Nurse Practitioner | 1325 N Walker Ave Apt 357, Oklahoma City, OK 73103-6409 | 2020-08-20 |
1396356143 | Deshell Ravette Tillman | Nurse Practitioner | 2621 N Sterling Ave, Oklahoma City, OK 73127-1919 | 2020-08-14 |
1225656549 | Simon Wellness LLC | Nurse Practitioner | 9321 Sw 23rd St, Oklahoma City, OK 73128-1840 | 2020-07-13 |
1831717396 | Caitlin Raylynn Stenberg | Nurse Practitioner | 1000 N Lincoln Blvd Ste 3200, Oklahoma City, OK 73104-3252 | 2020-07-10 |
1467078113 | Jaanki Bhakta | Nurse Practitioner | 9116 Sw 24th St, Oklahoma City, OK 73128-4903 | 2020-06-18 |
1629699244 | Tanya Cates | Nurse Practitioner | 5529 Bush Creek Way, Oklahoma City, OK 73117-8440 | 2020-05-05 |
1922629054 | Heather Amanda Chin Hwa Rutledge | Nurse Practitioner | 7800 Sw 87th Cir, Oklahoma City, OK 73169-7800 | 2020-04-29 |
Find all providers in OKLAHOMA CITY |
City | OKLAHOMA CITY |
Zip Code | 73112 |
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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.