Individual provider Active NPI

Lori S. Travis, AU.D.

  • Audiologist
  • Elizabethtown, KY
National Provider Identifier
1700058336
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
0495 Issued in KY
Practice address
906 Woodland Dr
Suite 102
Elizabethtown, KY 42701-2752
Phone
(270) 765-5127
NPI assigned
Mar 24, 2008
Last updated
Jan 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 20007013693 MO
Audiologist 231H00000X 0495 KY Primary

Addresses

Primary practice location

906 Woodland Dr
Suite 102
Elizabethtown, KY 42701-2752

Mailing address

588 Clover LN
Unit C
Elizabethtown, KY 42701-2989
Phone (573) 645-2035

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

State licenses

LicenseStateTypeSpecialty
0495KYMDAudiologist
20007013693MOMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1206316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1700058336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "588 CLOVER LN",
            "address_2": "UNIT C",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012989",
            "telephone_number": "573-645-2035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "906 WOODLAND DR",
            "address_2": "SUITE 102",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012752",
            "telephone_number": "270-765-5127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "LORI",
        "middle_name": "S.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-24",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "MO",
            "license": "20007013693",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "KY",
            "license": "0495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2009; 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.