Active NPI
Latwanya J Traylor, NP
- Primary Care Nurse Practitioner
- Temple, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AP117619
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| AP117619 | TX | MD | Nurse Practitioner |
| RN216283 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Lufkin Physician Services PA | Nurse Practitioner | Current | Accepting new patients |
| Comprehensive Rehab Consultants PLLC | Nurse Practitioner | Current | Accepting new patients |
| Restorative Therapy & Wellness Spa, Inc. | Current | Accepting new patients | |
| TMC Provider Group PLLC | Current | Accepting new patients | |
| Comprehensive Hospitalist Services of Texas PLLC | Current | Accepting new patients | |
| TMC Provider Group PLLC | Current | Accepting new patients | |
| Comprehensive Hospitalist Services of Texas PLLC | Nurse Practitioner | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Texas, PLLC | Nurse Practitioner | Current | Accepting new patients |
| TMC Provider Group PLLC | Current | Accepting new patients | |
| Primamed Physicians PLLC | Current | Accepting new patients | |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Citimed, P.a. | Past | Accepting new patients | |
| Primamed Physicians PLLC | Past | 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
- latwanya.traylor@hca7.eclinicaldirectplus.com
- ltraylor346756@christushealth.direct-ci.net
- ltraylor1058277@direct.sw.org
- 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.
-
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1053784660
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
-
- Hospitalist Physician
- Odessa, TX
- NPI 1295062198
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Dallas, TX
- NPI 1164494068
-
- Physical Medicine & Rehabilitation Physician
- Middle River, MD
- NPI 1710529771
Nurse Practitioner, TX
-
- Health & Wellness Coach
- Grand Prairie, TX
- NPI 1225752165
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1265441620
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Hospitalist Physician
- Corsicana, TX
- NPI 1396142394
Nurse Practitioner
-
- Urgent Care Clinic/Center
- San Antonio, TX
- NPI 1033968789
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.