Active NPI
Travis Dellorn Wells, APRN
- Family Nurse Practitioner
- Lexington, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 3013591
- Practice address
- 2250 Leestown Rd
Lexington, KY 40511-1052 - Phone
- (859) 893-2385
- NPI assigned
- Oct 12, 2019
- Last updated
- Feb 12, 2020
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3013591 | KY | Primary |
Addresses
Primary practice location
2250 Leestown Rd
Lexington, KY 40511-1052
Mailing address
PO Box 1011
Richmond, KY 40476-1011
Phone (859) 233-4511
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3013591 | KY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Man O War Urgent Care LLC | Nurse Practitioner | Current | Accepting new patients |
| Lexington Urgent Care PLLC | Nurse Practitioner | Current | Accepting new patients |
| Central Emergency Physicians, PSC | Nurse Practitioner | Current | Accepting new patients |
| Georgetown Urgent Care PLLC | Nurse Practitioner | Current | Accepting new patients |
| Berea Urgent Care LLC | Nurse Practitioner | Current | Accepting new patients |
Locations
234 Brenwood St
Berea, KY 40403
Phone (859) 985-0302
111 Osborne Way
#101
Georgetown, KY 40324
Phone (859) 466-8956
1701 Nicholasville Rd
Lexington, KY 40503
Phone (859) 278-9373
1701 Nicholasville Rd
Ste 100
Lexington, KY 40503
Phone (859) 466-8956
1740 Nicholasville Rd
Lexington, KY 40503
Phone (859) 260-6100
4097 Nichols Park Dr
Ste 108
Lexington, KY 40503
Phone (859) 245-2273
801 Eastern Byp
Richmond, KY 40475
Phone (606) 623-3131
432 Lexington Rd
Versailles, KY 40383
Phone (859) 523-5310
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 5
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.
-
- Nurse Practitioner
- Berea, KY
- NPI 1912054792
-
- Emergency Medicine Physician
- Lexington, KY
- NPI 1346371762
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Georgetown, KY
- NPI 1780838847
Nurse Practitioner
-
- Urgent Care Clinic/Center
- Lexington, KY
- NPI 1225374887
Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1477195352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1011",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404761011",
"telephone_number": "859-233-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 LEESTOWN RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405111052",
"telephone_number": "859-893-2385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "TRAVIS",
"middle_name": "DELLORN",
"name_prefix": "Mr.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-10-12",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "KY",
"license": "3013591",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.