Active NPI
James Travis, M.S.W, B.S.
- Case Manager/Care Coordinator
- Neenah, WI
National Provider Identifier
1164706735
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 211 N Commercial St
Neenah, WI 54956-2678 - Phone
- (920) 725-2777
- NPI assigned
- Sep 30, 2011
- Last updated
- Sep 30, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
211 N Commercial St
Neenah, WI 54956-2678
Mailing address
220 Washington Ave
Oshkosh, WI 54901-5030
Phone (920) 236-4700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42139300WI | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Winnebago County | Past | Accepting new patients | |
| County of Winnebago | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Oshkosh, WI
- NPI 1508960675
-
- Public Health or Welfare Agency
- Winnebago, WI
- NPI 1154318657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1164706735",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "220 WASHINGTON AVE",
"city": "OSHKOSH",
"state": "WI",
"postal_code": "549015030",
"telephone_number": "920-236-4700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 N COMMERCIAL ST",
"city": "NEENAH",
"state": "WI",
"postal_code": "549562678",
"telephone_number": "920-725-2777"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVIS",
"first_name": "JAMES",
"credential": "M.S.W, B.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-09-30",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "42139300WI",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Neenah, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.