Kristen Travis

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

19767 Issued in TN

Practice address

6263 Poplar Ave
Memphis, TN 38119-4701

Phone

(865) 635-9801

NPI assigned

Apr 2, 2015

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in NC

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kristen.travis.1@2255.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/2255/brand/1/csg/1/fhir/r4

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.

• Carolina Coastal Plastic Surgery, PC

  • Plastic Surgery Physician
  • Elizabeth City, NC
  • NPI 1417282401
  Medicare reassignment NPD
• Surf Pediatrics and Medicine PC

  • Pediatrics Physician
  • Kitty Hawk, NC
  • NPI 1609058056
  Medicare reassignment NPD
• Total Wellness Chiropractic, PLLC

  • Chiropractor
  • Milan, TN
  • NPI 1265632350
  NPD

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

{
    "created_epoch": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1265827679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 W UNIVERSITY PKWY STE C",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383051667",
            "telephone_number": "731-660-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6263 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381194701",
            "telephone_number": "865-635-9801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "KRISTEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-02",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "19767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q025826",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert Joseph Trautman Jr., M.D.
• Alicia Travis, PHD
• Charita J Travis
• Erica Denise Travis, LPN
• Kimberly Sharese Travis
• Mimosa Travis, FNP
• Trawvb LLC
• Victoria Traylor, LPC-MHSP,CRC
• Jesse Trent
• Gary F Trew, M.D.

• Family Nurse Practitioner in Memphis, TN
• Providers in Memphis, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.