Travis Woodley, CRNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1-118142 Issued in AL

Practice address

3021 Frederick Rd
Opelika, AL 36801-7145

Phone

(334) 737-6126

Fax

(334) 737-6382

NPI assigned

Jun 7, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL, GA2 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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revitalize Alabama LLCGroup PAC ID 4082012836, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse, Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: woodley-travis@9170eb65.micromddirect.com
• FHIR API: https://api.platform.athenahealth.com/21450/brand/1/csg/1/fhir/r4
• FHIR API: https://api.platform.athenahealth.com/25105/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.

• Revitalize Alabama L.L.C

  • Family Medicine Physician
  • Auburn, AL
  • NPI 1942975180

  GA

  Medicare reassignment Care Compare group NPD Authorized official
• Jackson Hospital and Clinic, Inc.

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1073264107

  Nurse Practitioner

  Medicare reassignment NPD
• Nes Tennessee Inc

  • Emergency Medicine Physician
  • Montgomery, AL
  • NPI 1437606605

  Nurse Practitioner

  Medicare reassignment NPD
• Jackson Hospital & Clinic, Inc.

  • Physical Therapist
  • Montgomery, AL
  • NPI 1265325823
  NPD
• Jackson Hospital and Clinic Inc

  • Cardiovascular Disease Physician
  • Montgomery, AL
  • NPI 1912362773
  NPD
• Nes Tennessee Inc

  • Emergency Medicine Physician
  • Monroeville, AL
  • NPI 1013519230
  NPD
• Nes Tennessee Inc

  • Emergency Medicine Physician
  • Alexander City, AL
  • NPI 1881191039
  NPD

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654560000000",
    "number": "1396274072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2738",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368032738",
            "telephone_number": "334-737-6126",
            "fax_number": "334-737-6382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 FREDERICK RD",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017145",
            "telephone_number": "334-737-6126",
            "fax_number": "334-737-6382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODLEY",
        "first_name": "TRAVIS",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2022-06-07",
        "certification_date": "2022-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "1-118142",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN202209",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Scarlett Witt, PHARM.D.
• Katie Ann Wolter, M.D.
• Women'S Healthcare of Opelika
• Ashley Wood
• Charley Woodall, CAA
• Glenn M Woods, MD
• Kenyatta Grayson Woods, LICSW, PIP
• Words With Wallace, LLC
• Lesley Hebson Works, CRNP
• Kevin O'Neal Wortman II, DO

• Nurse Practitioner in Opelika, AL
• Providers in Opelika, AL by specialty
• Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.