Active NPI
Carol O Lucas, CRNA
- Certified Registered Nurse Anesthetist
- Bastrop, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 518261
- Practice address
- 3201 Highway 71 E
Bastrop, TX 78602-5126 - Phone
- (512) 751-0753
- NPI assigned
- Oct 6, 2005
- Last updated
- May 21, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 518261 | TX | Primary |
Addresses
Primary practice location
3201 Highway 71 E
Bastrop, TX 78602-5126
Mailing address
8408 Tyhurst Dr
Austin, TX 78749-3522
Phone (512) 751-0753
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100878100 | Other | TX | FIRSTCARE |
| 742929703 | Other | TX | HUMANA/MILITARY |
| 152275701 | Medicaid | TX | |
| 00C59R | Other | TX | BLUE CROSS BLUE SHIELD |
Other names 1
- Ms. Carol Ann Young
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, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4310 James Casey St
Suite 4B
Austin, TX 78745-1120
Phone (512) 532-8000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 518261 | TX | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Austin Gastroenterology Anesthesia Associates PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Allied Anesthesia Associates, P.C. | Past | Accepting new patients | |
| Windy City Anesthesia PC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Atp Anesthesia LLC | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Locations
4310 James Casey St
Ste 4B
Austin, TX 78745
Phone (512) 407-8444
8015 Shoal Creek Blvd
Austin, TX 78757
Phone (512) 971-1519
8015 Shoal Creek Blvd
Ste 118
Austin, TX 78757
Phone (512) 485-5890
8015 Shoal Creek Blvd
Ste 300
Austin, TX 78757
Phone (512) 371-1519
3944 Ranch Road 620 S
Ste 103
Bee Cave, TX 78738
Phone (512) 371-1519
3030 S Gessner Rd
Ste 150
Houston, TX 77063
Phone (713) 587-0909
8550 Datapoint Dr
Ste 100
San Antonio, TX 78229
Phone (210) 615-7232
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Austin, TX
- NPI 1427405810
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered, TX
-
- Certified Registered Nurse Anesthetist
- Bastrop, TX
- NPI 1932373123
-
- Interventional Pain Medicine Physician
- Joliet, IL
- NPI 1750330742
-
- Anesthesiology Physician
- Aurora, IL
- NPI 1982620449
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Wentzville, MO
- NPI 1447514377
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Frankfort, IL
- NPI 1932248622
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1487642260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8408 TYHURST DR",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787493522",
"telephone_number": "512-751-0753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 HIGHWAY 71 E",
"city": "BASTROP",
"state": "TX",
"postal_code": "786025126",
"telephone_number": "512-751-0753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCAS",
"first_name": "CAROL",
"middle_name": "O",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "TX",
"license": "518261",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRSTCARE",
"identifier": "100878100",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA/MILITARY",
"identifier": "742929703",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "152275701",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "00C59R",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROL",
"last_name": "YOUNG",
"middle_name": "ANN",
"prefix": "MS.",
"credential": "CRNA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Bastrop, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.