Individual provider Active NPI

Travantae Khedeem Cuffie

  • Student in an Organized Health Care Education/Training Program
  • Rock Hill, SC
National Provider Identifier
1457816902
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
4428 Dorsey Dr #58 2020 Alumni Dr #4625
Rock Hill, SC 29733-0001
Phone
(803) 847-1914
NPI assigned
Feb 8, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary
Athletic Trainer 2255A2300X

Addresses

Primary practice location

4428 Dorsey Dr #58 2020 Alumni Dr #4625
Rock Hill, SC 29733-0001

Mailing address

4428 Dorsey Dr #58 2020 Alumni Dr #4625
Rock Hill, SC 29733-0001
Phone (803) 847-1914

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

NPI Registry JSON

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549584000000",
    "number": "1457816902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 DORSEY DR #58 2020 ALUMNI DR #4625",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297330001",
            "telephone_number": "803-847-1914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4428 DORSEY DR #58 2020 ALUMNI DR #4625",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297330001",
            "telephone_number": "803-847-1914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUFFIE",
        "first_name": "TRAVANTAE",
        "middle_name": "KHEDEEM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-08",
        "last_updated": "2019-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.