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Deactivated NPI 1780389502 Deactivated / Inactive NPI Female Practitioner

Keiondra Lashay Young

Driver • Toledo, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Keiondra Young has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 03, 2023
NPI Deactivation Date May 27, 2023
Total Practice Duration ~1 Years of Practice (2023 – 2023)

Professional Overview & Biography Verified Profile Summary

Keiondra Young was a registered Driver practicing in Toledo, OH. Throughout an active medical career spanning 1 years, Keiondra Young provided care at the practice location at 5533 SOUTHWYCK BLVD STE 101 until profile deactivation on 2023-05-27.

Practice Location & Contact Primary Location

Practice Address

5533 Southwyck Blvd Ste 101

Toledo, OH 436141505

Telephone 4194098428
Fax 4194098429
Associated Practice Facility / Clinic
🏢 Nami Home Care Company Facility NPI 1518564491

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Toledo, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
35 Specialists

Practicing in Toledo, OH (1080 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License OH TU957628

A person employed to operate a motor vehicle as a carrier of persons or property.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 27, 2023

Record deactivated on May 27, 2023

NPI Profile Active April 03, 2023

NPI status registered as active in NPPES database

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Updated Practice Location April 03, 2023

Registered at 5533 SOUTHWYCK BLVD STE 101, TOLEDO, OH 436141505 (Tel: 4194098428)

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Updated Business Mailing Address April 03, 2023

Registered at 5533 SOUTHWYCK BLVD STE 101, TOLEDO, OH 436141505 (Tel: 4194098428)

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Provider Name / Credentials Updated April 03, 2023

Recorded as KEIONDRA YOUNG

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2023

Driver (License #TU957628 in OH)

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Initial NPI Registration & Enumeration April 03, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780389502
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2023
Last Update: April 03, 2023
Deactivation Date: May 27, 2023

Mailing Address

5533 Southwyck Blvd Ste 101

Toledo, OH 436141505

Phone: 4194098428

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.