Travis Visser

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

84676436006 Issued in UT

Practice address

1237 E 150 S
Spanish Fork, UT 84660-2371

Phone

(435) 705-3369

NPI assigned

Feb 6, 2014

Last updated

Feb 6, 2014By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1391644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1391644800000",
    "number": "1730503079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 E 150 S",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602371",
            "telephone_number": "435-705-3369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 E 150 S",
            "city": "SPANISH FORK",
            "state": "UT",
            "postal_code": "846602371",
            "telephone_number": "435-705-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VISSER",
        "first_name": "TRAVIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-06",
        "last_updated": "2014-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "84676436006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Obstetrics and Gynecology, PC (South County Group)
• Ryan Frederick Vanmoorlehem, D.M.D.
• John Varner, MD, DDS
• Jasmine Vawdrey
• Alyssa Vest, APRN FNP-C
• Vitality Mental Health
• Janna Voss
• Wal-Mart Stores Inc (Walmart Vision Center 30-4068)
• Colton Blair Waldron
• Emily Walker, RN

• Addiction (Substance Use Disorder) Counselor in Spanish Fork, UT
• Providers in Spanish Fork, UT by specialty
• Addiction (Substance Use Disorder) Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2014; 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.