Individual provider Active NPI

Hannah Elizabeth Peavy, MAT, LAT, ATC

  • Athletic Trainer
  • Cedar Creek, TX
National Provider Identifier
1104567544
Registry record updated Mar 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
793 Union Chapel Rd
Cedar Creek, TX 78612-3223
Phone
(512) 772-7300
NPI assigned
Apr 6, 2022
Last updated
Mar 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2000052894OtherBOARD OF CERTIFICATION FOR THE ATHLETIC TRAINER
312201OtherNATIONAL ATHLETIC TRAINERS ASSOCIATION
AT9386OtherTXTEXAS DEPARTMENT OF LISTENING AND REGISTRATION

Other names 1

  • Hannah Elizabeth Thompson Former name

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.

Verify at the official NPI Registry.