Individual provider Active NPI

Rayma Young

  • Family Nurse Practitioner
  • Paradise, TX
National Provider Identifier
1932991940
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1197108 Issued in TX
Practice address
173 County Road 3382
Paradise, TX 76073-3647
Phone
(940) 577-0669
NPI assigned
May 19, 2025
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1197108 TX Primary

Addresses

Primary practice location

173 County Road 3382
Paradise, TX 76073-3647

Mailing address

173 County Road 3382
Paradise, TX 76073-3647

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250707002416 TX Practitioner - Nurse Practitioner 9133633803 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Christine Holland, M.D., P. a.Group PAC ID 3779658190, 30 clinicians

Practice addresses (Care Compare)

800 Medical Ctr Dr
Suite C
Decatur, TX 76234-3844
Phone (940) 626-2110

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1197108TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christine Holland MD PA CurrentSince Jun 26, 2025 Accepting new patients

Locations

800 Medical Center Dr
Ste C
Decatur, TX 76234
Phone (940) 626-2110

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1747612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1932991940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 COUNTY ROAD 3382",
            "city": "PARADISE",
            "state": "TX",
            "postal_code": "760733647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 COUNTY ROAD 3382",
            "city": "PARADISE",
            "state": "TX",
            "postal_code": "760733647",
            "telephone_number": "940-577-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "RAYMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-19",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1197108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paradise, TX

Sources for this page

Verify at the official NPI Registry.