Kendall N Travis, CNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

1071364 Issued in TX

Practice address

1900 SE 34TH Ave Unit 1800
Amarillo, TX 79118-6783

Phone

(806) 351-7540

NPI assigned

Jul 28, 2022

Last updated

Dec 15, 2022By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in TX

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

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Northwest Texas Wyatt Clinic PLLC

  • Internal Medicine Physician
  • Amarillo, TX
  • NPI 1780008904

  Pediatrics

  Medicare reassignment NPD
• Northwest Texas Healthcare System Inc

  dba Northwest Texas Healthcare System

  • Other Specialist/Technologist
  • Amarillo, TX
  • NPI 1154347987
  NPD (past)

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

{
    "created_epoch": "1658966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1275269508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 LAKEVIEW DR STE 114",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091532",
            "telephone_number": "806-803-9552",
            "fax_number": "806-803-9557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 SE 34TH AVE UNIT 1800",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791186783",
            "telephone_number": "806-351-7540"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1411 E Amarillo Blvd",
            "address_purpose": "LOCATION",
            "city": "Amarillo",
            "state": "TX",
            "postal_code": "791075555",
            "country_code": "US",
            "telephone_number": "806-351-7600",
            "fax_number": "806-351-7546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "KENDALL",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-28",
        "last_updated": "2022-12-15",
        "certification_date": "2022-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "1071364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Tran
• Madeline Trapp, RD
• Harley Traugott
• Andrea Traves, M.S., CCC/SLP
• Georjina Brea Travis-Barner, PHARM.D.
• Johnna Dickson Treat, R.N.
• Amit Kumar Trehan, M.D.
• Jyotsna Gupta Trehan, LPC - INTERN
• Manishika Trehan, M.D
• Salil Kumar Trehan, M.D.

• Pediatric Nurse Practitioner in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Pediatric Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2022; 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.