Active NPI
Travis Van Chandler
- Registered Dietitian
- Richmond, VA
National Provider Identifier
1639401391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 985482
- Practice address
- 2924 Brook Rd
Children'S Hospital
Richmond, VA 23220-1215 - Phone
- (804) 321-7474
- Fax
- (804) 228-5210
- NPI assigned
- Feb 5, 2010
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 985482 | VA | Primary |
Addresses
Primary practice location
2924 Brook Rd
Children'S Hospital
Richmond, VA 23220-1215
Mailing address
2924 Brook Rd
Children'S Hospital Credentialing Dept
Richmond, VA 23220-1215
Phone (804) 321-7474
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004909976 | Medicaid | VA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 985482 | VA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1639401391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2924 BROOK RD",
"address_2": "CHILDREN'S HOSPITAL CREDENTIALING DEPT",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232201215",
"telephone_number": "804-321-7474",
"fax_number": "804-228-5210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2924 BROOK RD",
"address_2": "CHILDREN'S HOSPITAL",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232201215",
"telephone_number": "804-321-7474",
"fax_number": "804-228-5210"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANDLER",
"first_name": "TRAVIS",
"middle_name": "VAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-05",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "VA",
"license": "985482",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004909976",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.