Active NPI
Ronny Travis
- Certified Respiratory Therapist
- Greeneville, TN
National Provider Identifier
1477881944
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Respiratory Therapist
- License
- 0000005221
- Practice address
- 624 Mount Bethel Rd
Greeneville, TN 37745-6376 - Phone
- (423) 639-7689
- NPI assigned
- Nov 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | 0000005221 | TN | Primary |
Addresses
Primary practice location
624 Mount Bethel Rd
Greeneville, TN 37745-6376
Mailing address
624 Mount Bethel Rd
Greeneville, TN 37745-6376
Phone (423) 639-7689
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": "1258848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258848000000",
"number": "1477881944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "624 MOUNT BETHEL RD",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377456376",
"telephone_number": "423-639-7689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "624 MOUNT BETHEL RD",
"city": "GREENEVILLE",
"state": "TN",
"postal_code": "377456376",
"telephone_number": "423-639-7689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVIS",
"first_name": "RONNY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-11-22",
"last_updated": "2009-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": "TN",
"license": "0000005221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greeneville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.