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MRS. TAMMY NEZ YOUNG RD
NPI 1003028820
Dietitian, Registered in Springdale, AR

Active since May 04, 2007
4001 WAGON WHEEL RD, SPRINGDALE, AR 72762(479) 725-3043(479) 725-3098 Get Directions Write a Review

NPPES record last updated: August 19, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Mrs. Tammy Nez Young Rd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TAMMY NEZ YOUNG RD (NPI 1003028820) is an individual dietitian, registered in Springdale, Arkansas, licensed in Arkansas (266) and active in the NPI registry since May 2007. She maintains a secondary practice location in Gravette.

NPPES Registry Identity

NPI1003028820
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMRS. TAMMY NEZ YOUNGCredential: RD
Location Address4001 WAGON WHEEL RDSpringdale, AR 72762-0137
Mailing Address6311 Wells CirSpringdale, AR 72762-6047 · (479) 725-3043 · Fax (479) 725-3098
Phone(479) 725-3043
Fax(479) 725-3098
Sole ProprietorNo
Enumeration DateMay 4, 2007
Last NPPES UpdateAugust 19, 2022
NPPES CertifiedAugust 19, 2022
✔ NPI 1003028820 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in AR · 266
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
4001 WAGON WHEEL RD, Springdale, AR 72762
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Secondary Practice Location 1

Location 11101 Jackson St SWGravette, AR 72736-9121 · Phone (479) 787-5291 · Fax (479) 344-6404

Other Identifiers 2

Other723812AR · Tammy Young, National Reg
Other266AR · Tammy Young, Rd

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tammy Nez Young Rd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Tammy Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sgoh Acquisition Inc
20 mi
Critical Access
1101 JACKSON ST SW
Gravette, AR 72736
  • Reassigned Medicare billing, Arkansas enrollment
  • 39 clinicians in this Medicare group
NPI 1568643005 (479) 787-5291

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA GAIL BELL
Nurse Practitioner (Occupational Health)
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3001
BOBBIE JO KOMERS APRN
Nurse Practitioner
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3000
MR. JOHN DANIEL NICHOLAS PA-C
Physician Assistant
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3000
ARKANSAS OCCUPATIONAL MEDICINE SERVICES PA
Specialist
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3000
KACIE LARAE FELTON
Nurse Practitioner (Family)
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3000
ARKANSAS OCCUPATIONAL HEALTH CLINIC
Nurse Practitioner (Occupational Health)
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3001
NORTHWEST ARKANSAS PHYSICAL ABILITY TESTING CENTER INC
Clinic/Center (Physical Therapy)
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3043
MR. SIDNEY MAX BEASLEY II ANP
Nurse Practitioner (Family)
4001 WAGON WHEEL RD
SPRINGDALE, AR 72762
Washington County (479) 725-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tammy Young's NPI number?

The NPI number for Tammy Young is 1003028820. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Tammy Young located?

Tammy Young practices at 4001 Wagon Wheel Rd, Springdale, AR 72762. The listed phone number is (479) 725-3043.

What is Tammy Young's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Tammy Young enrolled in Medicare?

Yes. Tammy Young is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Tammy Young's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tammy Young reassigns Medicare benefits to Sgoh Acquisition Inc (Gravette, AR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tammy Young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Tammy Young was last updated on August 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.