Individual provider Active NPI

Stacy Travis, CPT

  • Pathology Specialist/Technologist
  • Missouri City, TX
National Provider Identifier
1134088024
Registry record updated Jan 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pathology Specialist/TechnologistTaxonomy code 246Q00000X
License
L5P5G8W7 Issued in TX
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

Updated by the provider on Jan 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
L5P5G8W7TXMDPathology 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.

Verify at the official NPI Registry.