NPIMap

Individual provider Active NPI

Lauren Elise Peek Travillion, FNP-C

  • Family Nurse Practitioner
  • Paris, TX
National Provider Identifier
1639645658
Registry record updated Jun 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP139299 Issued in TX
Practice address
1800 Farm Road 195
Paris, TX 75462-2806
Phone
(903) 739-7920
Fax
(903) 739-7925
NPI assigned
Oct 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2022

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 AP139299 TX Primary

Addresses

Primary practice location

1800 Farm Road 195
Paris, TX 75462-2806

Mailing address

1800 Farm Road 195
Paris, TX 75462-2806
Phone (903) 739-7920

Other practice location 1

1601 LaMar Ave
Paris, TX 75460-4660
Phone (903) 715-1516

Other identifiers 1

IdentifierTypeStateIssuer
AP139299OtherTXFAMILY NURSE PRACTITIONER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190321001565 TX Practitioner - Nurse Practitioner 8729328117 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tapia Internal Medicine Clinic PLLCGroup PAC ID 5799909040, 7 clinicians

Practice addresses (Care Compare)

1800 Farm Rd
Suite 195
Paris, TX 75462-2806
Phone (903) 739-7920

Hospital & facility affiliations

  • Country Home Care Home health agency, Clarksville, TX, CCN 677887
  • Chambers Home Health Agency of Northeast Texas Com Home health agency, Mount Pleasant, TX, CCN 679171
  • Elara Caring Home health agency, Paris, TX, CCN 459063
  • Paris Regional Medical Center Hospital, Paris, TX, CCN 450196
  • Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
  • Titus Regional Medical Center Hospital, Mount Pleasant, TX, CCN 450080

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tapia Internal Medicine Clinic PLLC CurrentSince Jul 22, 2022 Accepting new patients
B. C. Muthappa, M.D., P.a. CurrentSince Jan 1, 2019 Accepting new patients
Bacharanianda LLC PastSince Jan 1, 2019 Accepting new patients

Locations

120 Farm Road 2825
Clarksville, TX 75426
Phone (903) 427-2201

501 N Locust St
Clarksville, TX 75426
Phone (903) 427-3460

1800 Farm Road 195
Paris, TX 75462
Phone (903) 739-7920

1601 Lamar Ave
Paris, TX 75460
Phone (903) 715-1516

Interoperability endpoints

  • Direct secure messaging: lauren.travillion.1@8762.direct.athenahealth.com

Organizations & group practices 3

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 8

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": "1539734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1639645658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 FARM ROAD 195",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754622806",
            "telephone_number": "903-739-7920",
            "fax_number": "903-739-7925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 FARM ROAD 195",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754622806",
            "telephone_number": "903-739-7920",
            "fax_number": "903-739-7925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 LaMar Ave",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "TX",
            "postal_code": "754604660",
            "country_code": "US",
            "telephone_number": "903-715-1516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEEK TRAVILLION",
        "first_name": "LAUREN",
        "middle_name": "ELISE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-17",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP139299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FAMILY NURSE PRACTITIONER",
            "identifier": "AP139299",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.