Provider Demographics
NPI:1467598797
Name:YOUNT, PAIGE (NP)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:YOUNT
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:
Other - Last Name:LAWRENCE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2222 N NEVADA AVE STE 4007
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-6863
Mailing Address - Country:US
Mailing Address - Phone:719-776-8500
Mailing Address - Fax:719-776-4595
Practice Address - Street 1:2222 N NEVADA AVE STE 4007
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6863
Practice Address - Country:US
Practice Address - Phone:719-776-8500
Practice Address - Fax:719-776-4595
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2023-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CORN.1663976163W00000X
CORXN.0104240363L00000X
COAPN.0994962363L00000X
COAPN.0994962-NP363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX752616977077OtherTRICARE
TX200768403Medicaid
TX8Y1461OtherBCBS PROVIDER # FOR TC
TX878N78OtherBCBS
TX878N78OtherBCBS
TX752616977077OtherTRICARE
TXTXB157399Medicare PIN
TX8Y1461OtherBCBS PROVIDER # FOR TC
TX8J4061Medicare Oscar/Certification