Active NPI
Grayson M Young, RN
- Certified Registered Nurse Anesthetist
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 1215086
- Practice address
- 602 Indiana Ave
Lubbock, TX 79415-3364 - Phone
- (806) 743-2981
- Fax
- (806) 743-2984
- NPI assigned
- May 31, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 899858 | TX | |
| Certified Registered Nurse Anesthetist | 367500000X | 1215086 | TX | Primary |
Addresses
Primary practice location
602 Indiana Ave
Lubbock, TX 79415-3364
Mailing address
6075 Monte Vista LN Apt 1618
Fort Worth, TX 76132-5436
Other practice location 1
1201 Wesleyan St
Fort Worth, TX 76105-1536
Phone (817) 531-4406
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 743-1842
Hospital & facility affiliations
- University Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1215086 | TX | MD | Certified Registered Nurse Anesthetist |
| 899858 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | Multi-Specialty | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Lubbock | Multi-Specialty | Current | Accepting new patients |
| Texas Tech University Health Sciences Center Lubbock | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Lubbock | Multi-Specialty | Past | Accepting new patients |
Locations
11011 Slide Rd
Lubbock, TX 79424
Phone (806) 743-2584
602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anatomic Pathology Physician
- Lubbock, TX
- NPI 1063461358
Multi-Specialty
-
- Durable Medical Equipment & Medical Supplies
- Lubbock, TX
- NPI 1053458026
-
- Podiatrist
- Lubbock, TX
- NPI 1538239769
Multi-Specialty
-
- Anesthesiology Physician
- Lubbock, TX
- NPI 1306894175
Multi-Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Lubbock, TX
- NPI 1538245717
Hospital
-
- General Acute Care Hospital
- Lubbock, TX
- NPI 1821087164
-
- Hearing and Speech Clinic/Center
- Lubbock, TX
- NPI 1831299114
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1748649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762214400000",
"number": "1336032036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6075 MONTE VISTA LN APT 1618",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761325436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "602 INDIANA AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794153364",
"telephone_number": "806-743-2981",
"fax_number": "806-743-2984"
}
],
"practiceLocations": [
{
"address_1": "1201 Wesleyan St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "761051536",
"country_code": "US",
"telephone_number": "817-531-4406",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "GRAYSON",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-31",
"last_updated": "2025-11-04",
"certification_date": "2025-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "TX",
"license": "899858",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "1215086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.