Jennifer L Travis, RN/ BC

Primary specialty

Gerontology Registered NurseTaxonomy code 163WG0600X

License

0960000640RN Issued in OR

Practice address

4531 SE Belmont St
Ste 100
Portland, OR 97215-1675

Phone

(503) 760-2075

NPI assigned

Sep 13, 2012

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1730439043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14009 NE 9TH ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986847303",
            "telephone_number": "503-929-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4531 SE BELMONT ST",
            "address_2": "STE 100",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972151675",
            "telephone_number": "503-760-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "RN/ BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "OR",
            "license": "0960000640RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Travis J. Elliott ND LLC
• Travis M Dockter Ms CCC-SLP
• Celeste Travis, QMHA-R
• Erin E Travis, PSS
• Heidi Winn Travis, LPC
• Kelsey Ann Travis
• Rebekah L Travis, QMHA
• Samantha R Travis, PA-C
• Cori Lynn Traylor
• Andrea Jean Traynor, MD

• Gerontology Registered Nurse in Portland, OR
• Providers in Portland, OR by specialty
• Gerontology Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.