Individual provider Active NPI

Travis Lakin

  • Family Nurse Practitioner
  • Maryville, TN
National Provider Identifier
1487016333
Registry record updated Oct 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000021100 Issued in TN
Practice address
162 BMH Physicians Office BLDG
Maryville, TN 37804-5902
Phone
(865) 982-7681
Fax
(865) 681-3387
NPI assigned
Mar 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000021100 TN Primary

Addresses

Primary practice location

162 BMH Physicians Office BLDG
Maryville, TN 37804-5902

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842

Other identifiers 1

IdentifierTypeStateIssuer
Q020584MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160503002353 TN Practitioner - Nurse Practitioner 8224337829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Blount Memorial Physician Group IncGroup PAC ID 6406844174, 252 clinicians

Practice addresses (Care Compare)

162 BMH Physician
Office BLDG
Maryville, TN 37804-5902
Phone (865) 982-7681

405 BMH Physicians Office BLDG
Maryville, TN 37804-5807
Phone (865) 238-6430

425 BMH Physicians
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5260

463 BMH Physician
Office BLDG
Maryville, TN 37804-5807
Phone (865) 980-5100

907 E Lamar Alexander Pkwy
Maryville, TN 37804-5015
Phone (864) 455-3748

Hospital & facility affiliations

  • Blount Memorial Hospital Hospital, Maryville, TN, CCN 440011

Merit-based Incentive Payment System (MIPS)

Final score
77.77 of 100Reported as group
Quality
58.61
Promoting interoperability
92
Improvement activities
40
Cost
73.97

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN0000021100TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blount Memorial Physician Group, Inc CurrentSince Mar 24, 2016 Accepting new patients

Locations

300 E McBee Ave
Fl 4
Greenville, SC 29601
Phone (864) 522-8615

162 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 238-6161

103 W Broadway Ave
Maryville, TN 37801

458 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5355

162 Bmh Physicians Office Bldg
Bldg Bmpg
Maryville, TN 37804

463 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5100

Interoperability endpoints

  • Direct secure messaging: tlakin864550@direct.ghs.myhfn.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: travis.lakin.p1@direct.bmpg.nextgenshare.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761609600000",
    "number": "1487016333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "162 BMH PHYSICIANS OFFICE BLDG",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045902",
            "telephone_number": "865-982-7681",
            "fax_number": "865-681-3387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAKIN",
        "first_name": "TRAVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-21",
        "last_updated": "2025-10-28",
        "certification_date": "2025-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000021100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q020584",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maryville, TN

Sources for this page

Verify at the official NPI Registry.