Mrs. Audrey M Young, RD, LDN, CDE
Dietitian, Registered in Peabody, Massachusetts
1881815751- Practice location
- 2 First Avenue Centennial Crossing, Suite 112, Peabody, MA 01960
- Phone
- 617-240-6383
- Fax
- 978-745-7982
- Last updated
- December 22, 2022
Audrey M Young is a Dietitian, Registered based in Peabody, MA. Audrey M Young practices in Peabody, MA and has the professional credentials of RD, LDN, CDE. The NPI Number for Audrey M Young is 1881815751 and holds a License No. 901 (MA). The current practice location address for Audrey M Young is 2 First Avenue Centennial Crossing, Suite 112, Peabody, MA 01960 and can be reached out via phone at 617-240-6383 and via fax at 978-745-7982.
Provider Profile Details
- NPI Number
- 1881815751
- Provider Name
- Audrey M Young
- Credential
- RD, LDN, CDE
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2 First Avenue Centennial Crossing, Suite 112, Peabody, MA 01960
- Phone Number
- 617-240-6383
- Fax Number
- 978-745-7982
- Primary Taxonomy
- Dietitian, Registered · 133V00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- May 1, 2007
- Last Update Date
- December 22, 2022
- Certification Date
- October 26, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 First Avenue Centennial Crossing
Suite 112
Peabody, MA 01960 - City
- Peabody
- State
- Massachusetts
- Zip
- 01960
- Phone Number
- 617-240-6383
- Fax Number
- 978-745-7982
Provider Business Mailing Address Details
- Address
- Mystic Healthcare
137 Main Street
Medford, MA 01255 - City
- Medford
- State
- MA
- Zip
- 01255
- Phone Number
- 781-395-4761
- Fax Number
- 781-395-5081
License Information
- License Number (1)
- 901
- License State (1)
- MA
- Taxonomy (1)
- Dietitian, Registered, Nutrition, Pediatric · 133VN1004X
- License Number (2)
- 901
- License State (2)
- MA
- Taxonomy (2)
- Dietitian, Registered · 133V00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mrs. Audrey M Young, RD, LDN, CDE?
The NPI number of Mrs. Audrey M Young, RD, LDN, CDE is 1881815751. It was assigned on May 1, 2007 and is currently active in the NPPES registry.
What is the specialty of Mrs. Audrey M Young, RD, LDN, CDE?
Mrs. Audrey M Young, RD, LDN, CDE is registered under the primary taxonomy Dietitian, Registered (code 133V00000X), licensed in MA under license number 901.
Where does Mrs. Audrey M Young, RD, LDN, CDE practice?
The practice location is 2 First Avenue Centennial Crossing, Suite 112, Peabody, MA 01960. The office can be reached at 617-240-6383 (phone) or 978-745-7982 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881815751 directly on the NPPES registry website.