Travis L Nyberg, D.C.

Primary specialty

Occupational Health ChiropractorTaxonomy code 111NX0100X

License

273481 Issued in OR

Practice address

2650 Suzanne Way Ste 200
Eugene, OR 97408-7619

Phone

(541) 228-3130

Fax

(541) 228-3187

NPI assigned

Jul 24, 2007

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

Medicare fee-for-service enrollment

Enrolled in OR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Willamette Community Health Solutions

  • Diabetes Educator Registered Nurse
  • Eugene, OR
  • NPI 1255379566
  Medicare reassignment NPD
• Willamette Community Health Solutions

  • Physical Therapist
  • Eugene, OR
  • NPI 1649431636
  Medicare reassignment NPD

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185235200000",
    "number": "1073713368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087619",
            "telephone_number": "541-228-3130",
            "fax_number": "541-228-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 SUZANNE WAY STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974087619",
            "telephone_number": "541-228-3130",
            "fax_number": "541-228-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYBERG",
        "first_name": "TRAVIS",
        "middle_name": "L",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NX0100X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Occupational Health",
            "state": "OR",
            "license": "273481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Jeanette Nutt, M.S.W., L.C.S.W
• Nvision Movement LLC
• NW Pharmaceutical Compounding, Inc
• NW Therapy Collective LLC
• Jennifer L Nyberg
• Pamela Nyburg
• Laura D Nydigger, LPC
• Carissa Janelle Nye
• Daniel Nyounai Herrera
• Sandi T. O'Brien, MA, QMHP

• Occupational Health Chiropractor in Eugene, OR
• Providers in Eugene, OR by specialty
• Occupational Health Chiropractor in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.