Travis L Smith, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

3004523 Issued in KY

Practice address

1373 E State Road 62
Madison, IN 47250-7328

Phone

(812) 801-0609

Fax

(812) 801-0276

NPI assigned

Dec 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY, IN, IL, NC4 enrollments

Enrollment records 4

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations (25 of 39)

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IHIGDD/Endpoint/IHIGDD

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.

• Apollo Medical Group of Jeffersonville LLC

  • Anesthesiology Physician
  • Jeffersonville, IN
  • NPI 1124607205

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Louisville Anesthesia Provision LLC

  • Certified Registered Nurse Anesthetist
  • Columbus, IN
  • NPI 1548442650

  KY, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• North Clark Medical Group LLC

  • General Practice Physician
  • Jeffersonville, IN
  • NPI 1376095711

  KY, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Norton - Kings Daughters Health Inc

  dba Norton King's Daughters' Health

  • Family Medicine Physician
  • Madison, IN
  • NPI 1114955093

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• American Anesthesiology of North Carolina, PLLC

  • Certified Registered Nurse Anesthetist
  • Burlington, NC
  • NPI 1053677195

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Dynamics LLC

  • Anesthesiology Physician
  • Bradenton, FL
  • NPI 1073001012

  IN, KY, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Anesthesia Group Practice, Inc

  • Anesthesiology Physician
  • Montgomery, OH
  • NPI 1417951948

  KY, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Bluegrass Anesthesia Services, PSC

  • Anesthesiology Physician
  • Frankfort, KY
  • NPI 1548355100

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Capital Anesthesia Solutions of Kentucky LLC

  • Anesthesiology Physician
  • Somerset, KY
  • NPI 1023665882

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• CHS Anesthesia Services Group Inc

  • Anesthesiology Physician
  • Charlotte, NC
  • NPI 1346649415
  Medicare reassignment NPD
• East Carolina Anesthesia Associates, PLLC

  • Anesthesiology Physician
  • Greenville, NC
  • NPI 1205996519

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Lec Ancillary PLLC

  • Certified Registered Nurse Anesthetist
  • Louisville, KY
  • NPI 1982917365

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD

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

{
    "created_epoch": "1135814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731369600000",
    "number": "1215914445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT 86236",
            "address_2": "PO BOX 950195",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950195",
            "telephone_number": "502-473-2100",
            "fax_number": "502-456-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 E STATE ROAD 62",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472507328",
            "telephone_number": "812-801-0609",
            "fax_number": "812-801-0276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Audubon Plaza Dr",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402171318",
            "country_code": "US",
            "telephone_number": "502-636-7449",
            "fax_number": "502-636-7950",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRAVIS",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-29",
        "last_updated": "2024-11-12",
        "certification_date": "2024-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": "3004523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200946180",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74009473",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melvin J Skiles, M.D.
• William W Skiles, M.D.
• Bethany Smith
• Brandy J Smith, APRN
• Sandra Smith
• Tristyn Cheyne Smolarczyk
• SN Kentuckiana Rehab, LLC (KORT Kids -Madison)
• SN Kentuckiana Rehab, LLC (KORT Kids -Madison)
• SN Kentuckiana Rehab, LLC (KORT Physical Therapy)
• Samantha Jo Sparks, FNP-BC

• Certified Registered Nurse Anesthetist in Madison, IN
• Providers in Madison, IN by specialty
• Certified Registered Nurse Anesthetist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.