Active NPI
Terry Norris Travieso, FNP-C
- Family Nurse Practitioner
- Conroe, TX
National Provider Identifier
1316977929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 439813
- Practice address
- 508 Medical Center Blvd
Conroe, TX 77304-2808 - Phone
- (936) 760-7850
- Fax
- (936) 521-7396
- NPI assigned
- Jul 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 439813 | TX | Primary |
Addresses
Primary practice location
508 Medical Center Blvd
Conroe, TX 77304-2808
Mailing address
508 Medical Center Blvd
Conroe, TX 77304-2808
Phone (936) 760-7850
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 439813 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277251200000",
"number": "1316977929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "508 MEDICAL CENTER BLVD",
"city": "CONROE",
"state": "TX",
"postal_code": "773042808",
"telephone_number": "936-760-7850",
"fax_number": "936-521-7396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 MEDICAL CENTER BLVD",
"city": "CONROE",
"state": "TX",
"postal_code": "773042808",
"telephone_number": "936-760-7850",
"fax_number": "936-521-7396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVIESO",
"first_name": "TERRY",
"middle_name": "NORRIS",
"name_prefix": "Ms.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-03",
"last_updated": "2010-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "439813",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conroe, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.