Individual provider Active NPI

Jennifer Marie Travis, APN

  • Advanced Practice Midwife
  • Voorhees, NJ
National Provider Identifier
1154755692
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
25ME00066500 Issued in NJ
Practice address
2301 E Evesham Rd Ste 122
Voorhees, NJ 08043-4509
Phone
(856) 770-9300
Fax
(856) 770-8238
NPI assigned
Sep 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 25ME00066500 NJ Primary
Women's Health Nurse Practitioner 363LW0102X 26NJ00447400 NJ

Addresses

Primary practice location

2301 E Evesham Rd Ste 122
Voorhees, NJ 08043-4509

Mailing address

3 Cooper PLZ
Suite 301
Camden, NJ 08103-1438
Phone (856) 342-2959

Other practice location 1

3 Cooper Plz
Suite 301
Camden, NJ 08103-1438
Phone (856) 342-2959

Other practice location 2

100 Bowman Dr
Voorhees, NJ 08043-9612
Phone (856) 247-2645

Other practice location 3

175 Madison Ave Fl 3
Mount Holly, NJ 08060-2099
Phone (609) 914-6782

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140206000965 NJ Practitioner - Nurse Practitioner 0749419182 Reassigns benefits to 3 organizations
I20190305003333 NJ Practitioner - Certified Nurse Midwife (CNM) 0749419182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advocare, LLCGroup PAC ID 3678562188, 383 clinicians

Practice addresses (Care Compare)

2301 E Evesham Rd
504 Advocare the Women's Group for OB/G
Voorhees, NJ 08043-4506
Phone (856) 772-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
25ME00066500NJMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Cooper Faculty OB-GYN, PC CurrentSince Nov 12, 2013 Accepting new patients
Virtua Medical Group, PA Current Accepting new patients
Cooper Obstetrical Associates, PC CurrentSince Nov 12, 2013 Accepting new patients
Advocare , LLC CurrentSince Aug 30, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Jan 29, 2019 Accepting new patients
Advocare, LLC CurrentSince Aug 30, 2023 Accepting new patients
Virtua Medical Group, PA CurrentSince Jan 29, 2019 Accepting new patients
Advocare , LLC Past Accepting new patients
University Urogynecology Association, PC Past Accepting new patients

Locations

3242 Route 206
Ste 2
Bordentown, NJ 08505
Phone (609) 298-4340

3 Cooper Plz
Rm 301
Camden, NJ 08103
Phone (856) 342-2959

3 Cooper Plz
Rm 300
Camden, NJ 08103
Phone (856) 342-2186

1103 Kings Hwy N
Cherry Hill, NJ 08034
Phone (609) 321-1800

132 Grove St
Ste A
Haddonfield, NJ 08033
Phone (856) 354-2211

401 Route 73 N
Ste 320
Marlton, NJ 08053
Phone (609) 471-1033

175 Madison Ave
Fl 3
Mount Holly, NJ 08060
Phone (609) 914-6198

2301 E Evesham Rd
Ste 504
Voorhees, NJ 08043
Phone (856) 651-1400

100 Bowman Dr
Voorhees, NJ 08043
Phone (856) 247-3000

2301 E Evesham Rd
Ste 122
Voorhees, NJ 08043
Phone (856) 770-9300

Interoperability endpoints

  • Direct secure messaging: jennifer.travis@advocaredoctors.eclinicaldirectplus.com

Organizations & group practices 9

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": "1377993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1154755692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 COOPER PLZ",
            "address_2": "SUITE 301",
            "city": "CAMDEN",
            "state": "NJ",
            "postal_code": "081031438",
            "telephone_number": "856-342-2959",
            "fax_number": "856-968-8501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 E EVESHAM RD STE 122",
            "city": "VOORHEES",
            "state": "NJ",
            "postal_code": "080434509",
            "telephone_number": "856-770-9300",
            "fax_number": "856-770-8238"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Cooper Plz",
            "address_2": "Suite 301",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "NJ",
            "postal_code": "081031438",
            "country_code": "US",
            "telephone_number": "856-342-2959",
            "fax_number": "856-968-8501",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Bowman Dr",
            "address_purpose": "LOCATION",
            "city": "Voorhees",
            "state": "NJ",
            "postal_code": "080439612",
            "country_code": "US",
            "telephone_number": "856-247-2645",
            "fax_number": "856-247-2905",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "175 Madison Ave Fl 3",
            "address_purpose": "LOCATION",
            "city": "Mount Holly",
            "state": "NJ",
            "postal_code": "080602099",
            "country_code": "US",
            "telephone_number": "609-914-6782",
            "fax_number": "609-914-6837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-01",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NJ",
            "license": "25ME00066500",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NJ",
            "license": "26NJ00447400",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Voorhees, NJ

Sources for this page

Verify at the official NPI Registry.