Jennifer Johnnae Travis

Primary specialty

Cognitive & Behavioral PsychologistTaxonomy code 103TB0200X

Practice address

2421 Tech Center CT
Las Vegas, NV 89128-0804

Phone

(702) 560-1898

Fax

(702) 974-1521

NPI assigned

Aug 10, 2017

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

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

{
    "created_epoch": "1502323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502323200000",
    "number": "1770008757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2421 TECH CENTER CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280804",
            "telephone_number": "702-560-1898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 TECH CENTER CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280804",
            "telephone_number": "702-560-1898",
            "fax_number": "702-974-1521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "JENNIFER",
        "middle_name": "JOHNNAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-10",
        "last_updated": "2017-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfred Travis
• Alicia Travis
• Andreda Travis
• Chasity Travis, APRN
• Javon Travis
• Jonathan Travis
• Kohtie Marielee Travis
• Kristyn Travis
• Taniesha Chantrese Travis
• Katherine D Travnicek, MD

• Cognitive & Behavioral Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Cognitive & Behavioral Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2017; 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.