Nicholas Richard Travis, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

11003857 Issued in FL

Practice address

3501 54TH Ave S
St Petersburg, FL 33711-4541

Phone

(727) 864-1546

NPI assigned

Oct 7, 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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1570406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570406400000",
    "number": "1669013033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 54TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337114541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 54TH AVE S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337114541",
            "telephone_number": "727-864-1546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "NICHOLAS",
        "middle_name": "RICHARD",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-07",
        "last_updated": "2019-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003857",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trauma Recovery Group
• Catherine Travelute, PH. D.
• Daniel Raymond Traver, DNP
• Rita Traver
• Gloria E Travieso-Zadan, MD
• Thomas Marvin Travis, DO
• Anthony Martin Traynor, L.C.S.W.
• Suzanne M Tredo
• Kyle J. Treen III, CRNA
• Narinder Trehan, MD

• Family Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Family Nurse Practitioner in Florida

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