Active NPI
Cinnamon Travis Cramer, C.P.N.P.
- Pediatric Nurse Practitioner
- Demopolis, AL
National Provider Identifier
1639276702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1-072359
- Practice address
- 123 E Capitol St
Demopolis, AL 36732-2218 - Phone
- (334) 289-9408
- Fax
- (334) 289-1160
- NPI assigned
- Sep 20, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Northport, AL
- NPI 1720137334
-
- Family Medicine Physician
- Demopolis, AL
- NPI 1821380866
-
- Family Medicine Physician
- Demopolis, AL
- NPI 1902095565
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-072359 | AL | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bama Pedicatrics LLC | Past | Accepting new patients | |
| Travis Clinic | Past | Accepting new patients | |
| Canebrake Medical Management | Past | Accepting new patients |
Interoperability endpoints
- cinnamon.cramer@bamapeds.directbygreenway.com
- cinnamon.cramer@travclin.direct.medconnect-inc.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 1-072359 | AL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
123 E Capitol St
Demopolis, AL 36732-2218
Mailing address
123 E Capitol St
Demopolis, AL 36732-2218
Phone (334) 289-9408
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 631022584 | Medicaid | AL |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 13, 2011.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323734400000",
"number": "1639276702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 E CAPITOL ST",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "367322218",
"telephone_number": "334-289-9408",
"fax_number": "334-289-1160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 E CAPITOL ST",
"city": "DEMOPOLIS",
"state": "AL",
"postal_code": "367322218",
"telephone_number": "334-289-9408",
"fax_number": "334-289-1160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAMER",
"first_name": "CINNAMON",
"middle_name": "TRAVIS",
"credential": "C.P.N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-20",
"last_updated": "2011-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "AL",
"license": "1-072359",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "631022584",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Demopolis, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.