Travis Scott Jeremiah

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

1518434646 Issued in WA

Practice address

2600 SW Holden St
Seattle, WA 98126-3505

Phone

(206) 933-7299

NPI assigned

Oct 26, 2018

Last updated

Nov 1, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541030400000",
    "number": "1518434646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 S 174TH PL APT L",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981481672",
            "telephone_number": "206-841-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SW HOLDEN ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981263505",
            "telephone_number": "206-933-7299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEREMIAH",
        "first_name": "TRAVIS",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "WA",
            "license": "1518434646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley M Jerath Tatum, M.D.
• Greta Jerdo
• Jere & Krishna, PLLC (Seattle Oral Care)
• Deepali Jere, BDS, MPH, MS
• Joseph Andrew Jereczek, DPT
• Rebecca Jergens
• Brea Jermstad
• Elizabeth Jernberg, MD
• Timothy J. Jernberg, M.D.
• Darrel W Jernigan, CG 61020545

• Case Manager/Care Coordinator in Seattle, WA
• Providers in Seattle, WA by specialty
• Case Manager/Care Coordinator in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; 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.