Charla Travis

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SLP.LL.61404247 Issued in WA

Practice address

240 North a Street
Buckley, WA 98321

Phone

(360) 829-0600

NPI assigned

Feb 22, 2023

Sex

Female

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": "1677024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677024000000",
    "number": "1801594403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 KLINK ST",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "983219587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 NORTH A STREET",
            "city": "BUCKLEY",
            "state": "WA",
            "postal_code": "98321",
            "telephone_number": "360-829-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "CHARLA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-22",
        "last_updated": "2023-02-22",
        "certification_date": "2023-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "WA",
            "license": "SLP.LL.61404247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Thomas
• Paul Warner Thompson, PHARM.D.
• Melanie Tison
• Robyn Toy
• Casandra Faith Capon Tran, ARNP
• Washington State Department of Social and Health Services (Rainier School Pharmacy)
• Mesa Eva Kate Webb, M.S., CCC-SLP
• Michael A Welsh, MD
• White River Family Care LLC
• White River School District

• Speech-Language Pathologist in Buckley, WA
• Providers in Buckley, WA by specialty
• Speech-Language Pathologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2023; 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.