Individual provider Active NPI

Travis John Weiss, RN

  • Flight Registered Nurse
  • Belgrade, MT
National Provider Identifier
1821631011
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Flight Registered NurseTaxonomy code 163WF0300X
License
NUR-RN-LIC-72439 Issued in MT
Practice address
200 Wings Way
Belgrade, MT 59714-3556
Phone
(603) 502-1657
NPI assigned
Oct 21, 2019
Last updated
Oct 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Paramedic 146L00000X MED-PARA-LIC-31801 MT
Critical Care Medicine Registered Nurse 163WC0200X NUR-RN-LIC-72439 MT
Flight Registered Nurse 163WF0300X NUR-RN-LIC-72439 MT Primary

Addresses

Primary practice location

200 Wings Way
Belgrade, MT 59714-3556

Mailing address

PO Box 485
Canyon Creek, MT 59633-0485
Phone (603) 502-1657

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Travis.Weiss@REACHAir.com Direct

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
MED-PARA-LIC-31801MTMDParamedic
NUR-RN-LIC-72439MTMDFlight Registered Nurse

Interoperability endpoints

  • Direct secure messaging: travis.weiss@reachair.com

NPI Registry JSON

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

{
    "created_epoch": "1571616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1821631011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 485",
            "city": "CANYON CREEK",
            "state": "MT",
            "postal_code": "596330485",
            "telephone_number": "603-502-1657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 WINGS WAY",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597143556",
            "telephone_number": "603-502-1657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEISS",
        "first_name": "TRAVIS",
        "middle_name": "JOHN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146L00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Paramedic",
            "state": "MT",
            "license": "MED-PARA-LIC-31801",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MT",
            "license": "NUR-RN-LIC-72439",
            "primary": false
        },
        {
            "code": "163WF0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Flight",
            "state": "MT",
            "license": "NUR-RN-LIC-72439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Travis.Weiss@REACHAir.com",
            "affiliation": "N",
            "endpointDescription": "Work account/firewalled",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "200 Wings Way",
            "city": "Belgrade",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597143556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Belgrade, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2019; 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.