Active NPI
Hannah Elizabeth Peavy, MAT, LAT, ATC
- Athletic Trainer
- Cedar Creek, TX
National Provider Identifier
1104567544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 793 Union Chapel Rd
Cedar Creek, TX 78612-3223 - Phone
- (512) 772-7300
- NPI assigned
- Apr 6, 2022
- Last updated
- Mar 19, 2026
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
793 Union Chapel Rd
Cedar Creek, TX 78612-3223
Mailing address
135 Wild Bird Loop
Smithville, TX 78957-5091
Phone (512) 308-7097
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000052894 | Other | BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER | |
| 312201 | Other | NATIONAL ATHLETIC TRAINERS ASSOCIATION | |
| AT9386 | Other | TX | TEXAS DEPARTMENT OF LISTENING AND REGISTRATION |
Other names 1
- Hannah Elizabeth Thompson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1104567544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "135 WILD BIRD LOOP",
"city": "SMITHVILLE",
"state": "TX",
"postal_code": "789575091",
"telephone_number": "512-308-7097"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "793 UNION CHAPEL RD",
"city": "CEDAR CREEK",
"state": "TX",
"postal_code": "786123223",
"telephone_number": "512-772-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEAVY",
"first_name": "HANNAH",
"middle_name": "ELIZABETH",
"credential": "MAT, LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-04-06",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER",
"identifier": "2000052894",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL ATHLETIC TRAINERS ASSOCIATION",
"identifier": "312201",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS DEPARTMENT OF LISTENING AND REGISTRATION",
"identifier": "AT9386",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HANNAH",
"last_name": "THOMPSON",
"middle_name": "ELIZABETH",
"credential": "MAT, LAT, ATC",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cedar Creek, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.