Active NPI
Travis McConkey
- Basic Emergency Medical Technician
- Ft Stewart, GA
National Provider Identifier
1427458116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Basic Emergency Medical Technician
- License
- E3029914
- Practice address
- 1061 Harmon Ave
Winn Army Community Hospital
Ft Stewart, GA 31314-3710 - Phone
- (912) 435-6666
- NPI assigned
- Aug 29, 2014
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Basic Emergency Medical Technician | 146N00000X | E3029914 | TX | Primary |
Addresses
Primary practice location
1061 Harmon Ave
Winn Army Community Hospital
Ft Stewart, GA 31314-3710
Mailing address
187 Magnolia Rd
Midway, GA 31320-3710
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 |
|---|---|---|---|
| E3029914 | TX | MD | Basic Emergency Medical Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409270400000",
"number": "1427458116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "187 MAGNOLIA RD",
"city": "MIDWAY",
"state": "GA",
"postal_code": "313203710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 HARMON AVE",
"address_2": "WINN ARMY COMMUNITY HOSPITAL",
"city": "FT STEWART",
"state": "GA",
"postal_code": "313143710",
"telephone_number": "912-435-6666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCONKEY",
"first_name": "TRAVIS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-29",
"last_updated": "2014-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "146N00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Basic",
"state": "TX",
"license": "E3029914",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ft Stewart, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.