Travis D. Holifield

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT0112 Issued in MS

Practice address

693 Eatonville Rd
Hattiesburg, MS 39401-9708

Phone

(601) 545-9304

NPI assigned

Jun 7, 2017

Sex

Male

Sole proprietor

Yes

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": "1496793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496793600000",
    "number": "1598294282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 EATONVILLE RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394019708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 EATONVILLE RD",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394019708",
            "telephone_number": "601-545-9304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLIFIELD",
        "first_name": "TRAVIS",
        "middle_name": "D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-07",
        "last_updated": "2017-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MS",
            "license": "AT0112",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estina M Holder, LPC
• Laurie Holder
• Ruby Holder
• Ashley Haynes Holford, LCSW
• Melody Laine Holifield
• Sonja Michelle Holland-Gibbs, LMSW
• Carter Graham Holland, PA-C
• Hannah Nicole Holland, LMSW
• John G Holland, MD
• Melissa W Holland, MD

• Athletic Trainer in Hattiesburg, MS
• Providers in Hattiesburg, MS by specialty
• Athletic Trainer in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2017; 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.