Individual provider Active NPI

Latwanya J Traylor, NP

  • Primary Care Nurse Practitioner
  • Temple, TX
National Provider Identifier
1093955536
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AP117619 Issued in TX
Practice address
2401 S 31St St
Temple, TX 76508-0001
Phone
(254) 724-2111
NPI assigned
Feb 24, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP117619 TX
Family Nurse Practitioner 363LF0000X RN216283 GA
Nurse Practitioner 363L00000X AP117619 TX
Primary Care Nurse Practitioner 363LP2300X AP117619 TX Primary

Addresses

Primary practice location

2401 S 31St St
Temple, TX 76508-0001

Mailing address

PO Box 844658
Dallas, TX 75284-4658
Phone (254) 724-2111

Other practice location 1

1001 N. Beckley Ave.
Suite 430C
Desoto, TX 75115
Phone (469) 765-1600

Other practice location 2

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-7264

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ltraylor1058277@direct.sw.org Direct

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
I20100916001319 TX Practitioner - Nurse Practitioner 6204951015 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Provider Group PLLCGroup PAC ID 6305149121, 213 clinicians

Practice addresses (Care Compare)

11811 Blanco Rd
San Antonio, TX 78216-2407
Phone (210) 341-5588

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP117619TXMDNurse Practitioner
RN216283GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Mar 1, 2024 Accepting new patients
Lufkin Physician Services PA Nurse Practitioner CurrentSince Jul 14, 2018 Accepting new patients
Comprehensive Rehab Consultants PLLC Nurse Practitioner CurrentSince May 10, 2024 Accepting new patients
Restorative Therapy & Wellness Spa, Inc. Current Accepting new patients
TMC Provider Group PLLC CurrentSince Nov 1, 2025 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC CurrentSince Dec 29, 2019 Accepting new patients
TMC Provider Group PLLC CurrentSince Nov 1, 2025 Accepting new patients
Comprehensive Hospitalist Services of Texas PLLC Nurse Practitioner CurrentSince Dec 29, 2019 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Nurse Practitioner CurrentSince Jul 1, 2017 Accepting new patients
TMC Provider Group PLLC Current Accepting new patients
Primamed Physicians PLLC CurrentSince Jan 9, 2020 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 1, 2024 Accepting new patients
Citimed, P.a. Past Accepting new patients
Primamed Physicians PLLC PastSince Feb 9, 2025 Accepting new patients
Ingenios Health Co. Past Accepting new patients

Locations

415 W Golf Rd
Ste 26
Arlington Hts, IL 60005

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

9900 S Interstate 35
Austin, TX 78748
Phone (512) 291-5577

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

8017 W Virginia Dr
Dallas, TX 75237
Phone (972) 709-1112

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

940 York Dr
Desoto, TX 75115
Phone (972) 331-4554

330 W Camp Wisdom Rd
Duncanville, TX 75116
Phone (972) 298-3398

505 S John Redditt Dr
Lufkin, TX 75904
Phone (713) 512-1200

1011 N Galloway Ave
Mesquite, TX 75149
Phone (214) 320-7000

520 E 6th St
Odessa, TX 79761
Phone (432) 332-0929

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

11811 Blanco Rd
San Antonio, TX 78216
Phone (210) 341-5588

13722 Embassy Row
San Antonio, TX 78216
Phone (210) 349-5577

23611 W Interstate 10
San Antonio, TX 78257
Phone (210) 698-6617

2450 E 5th St
Tyler, TX 75701
Phone (903) 592-6745

800 E Dawson St
Tyler, TX 75701
Phone (903) 531-5018

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: latwanya.traylor@hca7.eclinicaldirectplus.com
  • Direct secure messaging: ltraylor346756@christushealth.direct-ci.net
  • Direct secure messaging: ltraylor1058277@direct.sw.org
  • Direct secure messaging: latwanya.traylor.1@29786.direct.athenahealth.com

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1235433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1093955536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 844658",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752844658",
            "telephone_number": "254-724-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 S 31ST ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765080001",
            "telephone_number": "254-724-2111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 N. Beckley Ave.",
            "address_2": "Suite 430C",
            "address_purpose": "LOCATION",
            "city": "Desoto",
            "state": "TX",
            "postal_code": "75115",
            "country_code": "US",
            "telephone_number": "469-765-1600",
            "fax_number": "469-765-1578",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-7264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAYLOR",
        "first_name": "LATWANYA",
        "middle_name": "J",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-24",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP117619",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN216283",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP117619",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "AP117619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ltraylor1058277@direct.sw.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2401 S 31st St",
            "city": "Temple",
            "state": "TX",
            "country_code": "US",
            "postal_code": "765080001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

Verify at the official NPI Registry.