JAVONTA DAMAR YOUNG
NPI 1942644109
Licensed Practical Nurse in Washington, DC

Q: What is Javonta Young's NPI number?

The NPI number for Javonta Young is 1942644109. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Q: What is Javonta Young's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Javonta Young was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 18, 2013

4363 MARTIN LUTHER KING JR AVE SW, WASHINGTON, DC 20032(202) 808-5025 Get Directions Write a Review

NPPES record last updated: April 18, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Javonta Damar Young NPPES

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

JAVONTA DAMAR YOUNG (NPI 1942644109) is an individual licensed practical nurse in Washington, District Of Columbia, licensed in Virginia (T62240626) and active in the NPI registry since April 2013.

NPPES Registry Identity

NPI1942644109

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameJAVONTA DAMAR YOUNG

Location Address4363 MARTIN LUTHER KING JR AVE SWWashington, DC 20032-1247

Mailing Address4363 Martin Luther King Jr Ave SwWashington, DC 20032-1247 · (202) 808-5025

Phone(202) 808-5025

Sole ProprietorNo

Enumeration DateApril 18, 2013

✔ NPI 1942644109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in VA · T62240626

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

4363 MARTIN LUTHER KING JR AVE SW, Washington, DC 20032

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Other Identifiers 1

Medicaid70138499DC

Other Providers at the Same Location NPPES

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

MONICA ROCHELLE MICHALS

Licensed Practical Nurse

4363 MARTIN LUTHER KING JR AVE SW
WASHINGTON, DC 20032

District of Columbia (202) 803-2050

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 Javonta Young's NPI number?

The NPI number for Javonta Young is 1942644109. It was assigned to this individual provider in the NPPES registry on April 18, 2013.

Where is Javonta Young located?

Javonta Young practices at 4363 Martin Luther King Jr Ave SW, Washington, DC 20032. The listed phone number is (202) 808-5025.

What is Javonta Young's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Javonta Young was last updated on April 18, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.