Active NPI
Stacy Travis, CPT
- Pathology Specialist/Technologist
- Missouri City, TX
National Provider Identifier
1134088024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pathology Specialist/Technologist
- License
- L5P5G8W7
- Practice address
- 2902 Fawn CT
Missouri City, TX 77489-3025 - Phone
- (832) 364-9575
- NPI assigned
- Jan 17, 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 |
|---|---|---|---|---|
| Pathology Specialist/Technologist | 246Q00000X | L5P5G8W7 | TX | Primary |
Addresses
Primary practice location
2902 Fawn CT
Missouri City, TX 77489-3025
Mailing address
2902 Fawn CT
Missouri City, TX 77489-3025
Phone (832) 364-9575
Other practice location 1
440 Louisiana St Ste 900
Houston, TX 77002-1062
Phone (866) 722-5942
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L5P5G8W7 | TX | MD | Pathology Specialist/Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768608000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768608000000",
"number": "1134088024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2902 FAWN CT",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774893025",
"telephone_number": "832-364-9575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2902 FAWN CT",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774893025",
"telephone_number": "832-364-9575"
}
],
"practiceLocations": [
{
"address_1": "440 Louisiana St Ste 900",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770021062",
"country_code": "US",
"telephone_number": "866-722-5942",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAVIS",
"first_name": "STACY",
"credential": "CPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-01-17",
"last_updated": "2026-01-17",
"certification_date": "2026-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "246Q00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Pathology",
"state": "TX",
"license": "L5P5G8W7",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 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.