Individual provider Active NPI

Travis John Beeber

  • Wound Care Registered Nurse
  • Geneva, IL
National Provider Identifier
1811853229
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
041.479553 Issued in IL
Practice address
351 Delnor Dr Ste 312
Geneva, IL 60134-4233
Phone
(630) 208-4460
Fax
(630) 208-4338
NPI assigned
Dec 30, 2025
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X 041.479553 IL Primary

Addresses

Primary practice location

351 Delnor Dr Ste 312
Geneva, IL 60134-4233

Mailing address

351 Delnor Dr Ste 312
Geneva, IL 60134-4233
Phone (630) 208-4460

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
041.479553ILMDWound Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1767052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1811853229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "351 DELNOR DR STE 312",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344233",
            "telephone_number": "630-208-4460",
            "fax_number": "630-208-4338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 DELNOR DR STE 312",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344233",
            "telephone_number": "630-208-4460",
            "fax_number": "630-208-4338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEEBER",
        "first_name": "TRAVIS",
        "middle_name": "JOHN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-12-30",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "IL",
            "license": "041.479553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 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.