Travis Jerod Taylor

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Practice address

23899 State Highway 74
Purcell, OK 73080-6964

Phone

(405) 253-3838

NPI assigned

Apr 23, 2019

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

Practice roles

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.

• Road to Recovery Foundation Inc

  • Substance Abuse Rehabilitation Facility
  • Purcell, OK
  • NPI 1528529674
  NPD (past)

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

{
    "created_epoch": "1555977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555977600000",
    "number": "1659935872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17009 SUNNY HOLLOW RD",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730126742",
            "telephone_number": "405-306-4279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23899 STATE HIGHWAY 74",
            "city": "PURCELL",
            "state": "OK",
            "postal_code": "730806964",
            "telephone_number": "405-253-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TRAVIS",
        "middle_name": "JEROD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-23",
        "last_updated": "2019-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sunset Estates of Purcell, Inc
• David Swanner, MS, LPC, NCC
• Brandii Sweetland, MSHR, CRC, LPC
• Kelly Tate
• Angela C Taylor, NHD, MIDWIFE
• Therapy in Motion of Oklahoma LLC
• Therapy in Motion PC
• Sharmian J Thomas, L.C.S.W.
• Melissa Thomason
• Darwin James Tims, D.D.S.

• Peer Specialist in Purcell, OK
• Providers in Purcell, OK by specialty
• Peer Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2019; 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.