Individual provider Active NPI

Cinnamon Travis Cramer, C.P.N.P.

  • Pediatric Nurse Practitioner
  • Demopolis, AL
National Provider Identifier
1639276702
Registry record updated Dec 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1-072359 Issued in AL
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.

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

LicenseStateTypeSpecialty
1-072359ALMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bama Pedicatrics LLC Past Accepting new patients
Travis Clinic Past Accepting new patients
Canebrake Medical Management Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cinnamon.cramer@bamapeds.directbygreenway.com
  • Direct secure messaging: cinnamon.cramer@travclin.direct.medconnect-inc.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 1-072359 AL Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
631022584MedicaidAL

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.

Verify at the official NPI Registry.