Individual provider Active NPI

Latoya Tancrede, LMT

  • Massage Therapist
  • Killeen, TX
National Provider Identifier
1497575096
Registry record updated Nov 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
128863 Issued in TX
Practice address
1010 W Jasper Dr Ste 6
Killeen, TX 76542-1328
Phone
(254) 232-6522
Fax
(254) 488-3110
NPI assigned
Oct 16, 2024
Last updated
Nov 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 128863 TX Primary

Addresses

Primary practice location

1010 W Jasper Dr Ste 6
Killeen, TX 76542-1328

Mailing address

PO Box 690224
Killeen, TX 76549-0004
Phone (512) 619-5191

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
128863TXMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Metanoia Sage PLLC Massage Therapist CurrentSince Mar 30, 2025 Accepting new patients

Locations

1010 W Jasper Dr
Ste 6
Killeen, TX 76542
Phone (254) 526-6151

1509 W Stan Schlueter Loop
Killeen, TX 76549
Phone (254) 680-7774

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764288000000",
    "number": "1497575096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 690224",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765490004",
            "telephone_number": "512-619-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 W JASPER DR STE 6",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765421328",
            "telephone_number": "254-232-6522",
            "fax_number": "254-488-3110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANCREDE",
        "first_name": "LATOYA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-16",
        "last_updated": "2025-11-28",
        "certification_date": "2025-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "TX",
            "license": "128863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2025; 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.