Travis Thomas Walters, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD036127 Issued in TN

Practice address

4322 Harding Pike
Suite 229
Nashville, TN 37205-2490

Phone

(615) 385-1451

Fax

(615) 298-4257

NPI assigned

Dec 26, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Green Hills Pediatric Associates

  • Pediatrics Physician
  • Nashville, TN
  • NPI 1851422349
  NPD (past)
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333411200000",
    "number": "1063577492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4322 HARDING PIKE",
            "address_2": "SUITE 229",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052490",
            "telephone_number": "615-385-1451",
            "fax_number": "615-298-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4322 HARDING PIKE",
            "address_2": "SUITE 229",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372052490",
            "telephone_number": "615-385-1451",
            "fax_number": "615-298-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "TRAVIS",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-26",
        "last_updated": "2012-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "MD036127",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3496525",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arthur Scott Walters, MD
• Camila Ballesteiro Walters, MD
• Molly Walters, RN, BSN
• Sarah Sexton Walters, C
• Stephanie Walters, PHARM.D.
• Allison Kay Walther, LMSW
• Michelle Marie Walther, M.D.
• Lori Byrd Waltman, BCBA
• Linda Porter Walton, RN
• Maria Faye Walton, PHD, HSP, LCSW

• Pediatrics Physician in Nashville, TN
• Providers in Nashville, TN by specialty
• Pediatrics Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; 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.