Individual provider Active NPI

Heather S Travis, NP

  • Adult Health Nurse Practitioner
  • Annapolis, MD
National Provider Identifier
1386692960
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R131937 Issued in MD
Practice address
122 Defense Hwy
Suite 210
Annapolis, MD 21401
Phone
(410) 266-9694
Fax
(410) 266-9695
NPI assigned
May 5, 2006
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R131937 MD Primary
Registered Nurse 163W00000X R131937 MD

Addresses

Primary practice location

122 Defense Hwy
Suite 210
Annapolis, MD 21401

Mailing address

122 Defense Hwy
Suite 210
Annapolis, MD 21401
Phone (410) 266-9694

Other practice location 1

116 Defense Hwy Ste 400
Annapolis, MD 21401-7050
Phone (410) 897-9841

Other identifiers 3

IdentifierTypeStateIssuer
X697-0009OtherMDCAREFIRST DC
7285072OtherMDCIGNA
88427906OtherMDCAREFIRST MD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060509001033 MD Practitioner - Nurse Practitioner 4385655018 Reassigns benefits to 1 organization
I20100204000235 DC Practitioner - Nurse Practitioner 4385655018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R131937MDMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Annapolis Internal Medicine, LLC CurrentSince Aug 21, 2017 Accepting new patients
Titus C. Abraham, MD, LLC Past Accepting new patients

Locations

116 Defense Hwy
Ste 400
Annapolis, MD 21401
Phone (410) 897-9841

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3805/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1386692960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 DEFENSE HWY",
            "address_2": "SUITE 210",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-266-9694",
            "fax_number": "410-266-9695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 DEFENSE HWY",
            "address_2": "SUITE 210",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "21401",
            "telephone_number": "410-266-9694",
            "fax_number": "410-266-9695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 Defense Hwy Ste 400",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214017050",
            "country_code": "US",
            "telephone_number": "410-897-9841",
            "fax_number": "410-897-9852",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "HEATHER",
        "middle_name": "S",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R131937",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R131937",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST DC",
            "identifier": "X697-0009",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7285072",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST MD",
            "identifier": "88427906",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

Verify at the official NPI Registry.