Jennifer Travis Lange, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

57430 Issued in TN

Practice address

Blanchfield Army Community Hospital
650 Joel Drie
Fort Campbell, KY 42223-5349

Phone

(270) 798-8727

Fax

(270) 798-8824

NPI assigned

Dec 27, 2006

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

Other names 1

• Jennifer Rebecca Travis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1811052160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 JOEL DRIVE",
            "address_2": "DEPT OF BH",
            "city": "FT. CAMPBELL",
            "state": "KY",
            "postal_code": "42223",
            "telephone_number": "270-798-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BLANCHFIELD ARMY COMMUNITY HOSPITAL",
            "address_2": "650 JOEL DRIE",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235349",
            "telephone_number": "270-798-8727",
            "fax_number": "270-798-8824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGE",
        "first_name": "JENNIFER",
        "middle_name": "TRAVIS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TN",
            "license": "57430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "TRAVIS",
            "middle_name": "REBECCA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Eberle Lajeret II, RN
• Brandon Lami, PA-C
• Phillip Oliver Lance, DDS
• Megan Pritchett Landre
• Christopher Lee Lange, M.D.
• Alexander Lanigan, M.D.
• Carleen Frances Laplant, DPT, ATC, CSCS, TSAC
• Maura Lappin, D.O.
• Corrie Lee Larson, MSW
• Mary Joanne Laurin, LPT

• Psychiatry Physician in Fort Campbell, KY
• Providers in Fort Campbell, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.