Active NPI
Travis Simmons, D.C.
- Chiropractor
- Kennewick, WA
National Provider Identifier
1205374550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CH60726082
- Practice address
- 7401 W Hood PL Ste 200
Kennewick, WA 99336-3400 - Phone
- (509) 591-0070
- NPI assigned
- Feb 7, 2017
- Last updated
- Feb 17, 2017
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | CH60726082 | WA | Primary |
Addresses
Primary practice location
7401 W Hood PL Ste 200
Kennewick, WA 99336-3400
Mailing address
8524 W Gage Blvd
BLDG a-1 Box 319
Kennewick, WA 99336-8241
Phone (509) 591-0070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Cleveland Chiropractic College - Kansas City, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5850 Hwy 53 N
Harvest, AL 35749-4302
Phone (256) 852-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2601 | AL | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthsource of Harvest | Chiropractor | Current | Accepting new patients |
| Pinnicale Pain Center | Past | Accepting new patients |
Locations
5850 Highway 53
Ste N
Harvest, AL 35749
Phone (256) 852-2000
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.
-
- Chiropractor
- Harvest, AL
- NPI 1265701122
-
- Medical Physician Assistant
- Kennewick, WA
- NPI 1184171290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1487289600000",
"number": "1205374550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8524 W GAGE BLVD",
"address_2": "BLDG A-1 BOX 319",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993368241",
"telephone_number": "509-591-0070"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7401 W HOOD PL STE 200",
"city": "KENNEWICK",
"state": "WA",
"postal_code": "993363400",
"telephone_number": "509-591-0070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "TRAVIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-07",
"last_updated": "2017-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WA",
"license": "CH60726082",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennewick, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.