Active NPI
Travis Allen Todd, CRNP
- Family Nurse Practitioner
- New Stanton, PA
National Provider Identifier
1285227447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP021179
- Practice address
- 552 Arona Rd
New Stanton, PA 15672-1101 - Phone
- (724) 925-8133
- NPI assigned
- Feb 18, 2021
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | SP021179 | PA | Primary |
Addresses
Primary practice location
552 Arona Rd
New Stanton, PA 15672-1101
Mailing address
552 Arona Rd
New Stanton, PA 15672-1101
Phone (724) 925-8133
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ttodd@excelahealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP021179 | PA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613606400000",
"number": "1285227447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "552 ARONA RD",
"city": "NEW STANTON",
"state": "PA",
"postal_code": "156721101",
"telephone_number": "724-925-8133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "552 ARONA RD",
"city": "NEW STANTON",
"state": "PA",
"postal_code": "156721101",
"telephone_number": "724-925-8133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TODD",
"first_name": "TRAVIS",
"middle_name": "ALLEN",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-18",
"last_updated": "2021-02-18",
"certification_date": "2021-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "PA",
"license": "SP021179",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ttodd@excelahealth.org",
"affiliation": "N",
"address_1": "552 Arona Rd",
"city": "New Stanton",
"state": "PA",
"country_code": "US",
"postal_code": "156721101",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New Stanton, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.