Susan Marie Travis, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

F381651-1 Issued in NY

Practice address

35 S Riverside Ave
The Westchester Medical Practice PC
Croton on Hudson, NY 10520-2653

Phone

(914) 271-2424

Fax

(914) 271-2172

NPI assigned

Jul 7, 2005

Last updated

Aug 1, 2013By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375315200000",
    "number": "1104823863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 DAYTON LANE, SUITE 202",
            "address_2": "THE WESTCHESTER MEDICAL PRACTICE PC",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "10566",
            "telephone_number": "914-739-0087",
            "fax_number": "914-737-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 S RIVERSIDE AVE",
            "address_2": "THE WESTCHESTER MEDICAL PRACTICE PC",
            "city": "CROTON ON HUDSON",
            "state": "NY",
            "postal_code": "105202653",
            "telephone_number": "914-271-2424",
            "fax_number": "914-271-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "credential": "CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2013-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381651-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thaddeus Wandel M. D., P. C.
• The Premier Center for Rehabilitation of Westchester LLC (Springvale Nursing and Rehabilitation Center)
• Barbara Tholfsen, L.C.S.W.
• Paul Raymond Trahey Jr., LMHC
• Michelle Tran
• Ina Evanthia Tsagarakis, MS, RD, CDN
• John Louis Tufanio, LCSW-R, BCD, ACHT
• Lucille Ferrara Tuman, LMSW
• Valley Medicine Nephrology P.C.
• Village of Croton-on-Hudson

• Pediatric Nurse Practitioner in Croton on Hudson, NY
• Providers in Croton on Hudson, NY by specialty
• Pediatric Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2013; 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.