Individual provider Active NPI

Amanda Josephine Travis, RD

  • Registered Dietitian
  • Albany, NY
National Provider Identifier
1215651492
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
009575 Issued in NY
Practice address
7 Southwoods Blvd
Albany, NY 12211-2564
Phone
(518) 292-6000
NPI assigned
Sep 30, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 86089707 NY
Registered Dietitian 133V00000X 009575 NY Primary

Addresses

Primary practice location

7 Southwoods Blvd
Albany, NY 12211-2564

Mailing address

7 Southwoods Blvd
Albany, NY 12211-2564
Phone (518) 292-6000

Other names 1

  • Amanda Griffiths Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230609002402 NY Practitioner - Registered Dietitian Or Nutrition Professional 0840657649 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
86089707NYMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Cardiology Associates PLLC CurrentSince May 3, 2023 Accepting new patients
Burdett Orthopedics, PC PastSince Mar 1, 2010 Accepting new patients

Locations

7 Southwoods Blvd
Albany, NY 12211
Phone (518) 292-6060

2200 Burdett Ave
Ste 202
Troy, NY 12180
Phone (518) 272-0122

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1664496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1215651492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SOUTHWOODS BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112564",
            "telephone_number": "518-292-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SOUTHWOODS BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112564",
            "telephone_number": "518-292-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "AMANDA",
        "middle_name": "JOSEPHINE",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-30",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "86089707",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NY",
            "license": "009575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "GRIFFITHS",
            "credential": "RD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.