Travis E Corder

Primary specialty

Hearing Instrument SpecialistTaxonomy code 237700000X

License

168362 Issued in KY

Practice address

290 Lexington St
Versailles, KY 40383-1240

Phone

(859) 873-5656

Fax

(859) 873-5657

NPI assigned

Sep 20, 2013

Last updated

Dec 19, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

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": "1379635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1750717864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "290 LEXINGTON ST",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831240",
            "telephone_number": "859-873-5656",
            "fax_number": "859-873-5657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 LEXINGTON ST",
            "city": "VERSAILLES",
            "state": "KY",
            "postal_code": "403831240",
            "telephone_number": "859-873-5656",
            "fax_number": "859-873-5657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDER",
        "first_name": "TRAVIS",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-09-20",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "TN",
            "license": "1484",
            "primary": false
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "KY",
            "license": "168362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING DISPENSER LICENSE",
            "identifier": "168362",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING DISPENSER LICENSE",
            "identifier": "1484",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Awa Cisse
• Tonya Coburn, P.A.-C
• Commonwealth Dental Group
• Comprehensive Psych Consultation, LLC
• Beth Underwood Coon, PT, DPT, CHT
• Core Health Centers of Versailles LLC
• Nora Beth Corle, PT, DPT
• Cornerstone Therapy Solutions
• Jordan Cox, APRN
• Tamela Bright Craig, SLP

• Hearing Instrument Specialist in Versailles, KY
• Providers in Versailles, KY by specialty
• Hearing Instrument Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2016; 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.