Active NPI
Jessica Travis
- Student in an Organized Health Care Education/Training Program
- Nevada City, CA
National Provider Identifier
1821836636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 24077 State Highway 49
Nevada City, CA 95959-8519 - Phone
- (976) 770-6876
- NPI assigned
- Jul 16, 2024
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Rehabilitation Practitioner | 225400000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
24077 State Highway 49
Nevada City, CA 95959-8519
Mailing address
208 Caputo Cir
Oakley, CA 94561-1097
Phone (630) 219-9852
Other practice location 1
24077 State Highway 49
Nevada City, CA 95959-8519
Other practice location 2
24077 State Highway 49
Nevada City, CA 95959-8519
Other practice location 3
24077 State Highway 49
Nevada City, CA 95959-8519
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1821836636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 CAPUTO CIR",
"city": "OAKLEY",
"state": "CA",
"postal_code": "945611097",
"telephone_number": "630-219-9852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24077 STATE HIGHWAY 49",
"city": "NEVADA CITY",
"state": "CA",
"postal_code": "959598519",
"telephone_number": "976-770-6876"
}
],
"practiceLocations": [
{
"address_1": "24077 State Highway 49",
"address_purpose": "LOCATION",
"city": "Nevada City",
"state": "CA",
"postal_code": "959598519",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24077 State Highway 49",
"address_purpose": "LOCATION",
"city": "Nevada City",
"state": "CA",
"postal_code": "959598519",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "24077 State Highway 49",
"address_purpose": "LOCATION",
"city": "Nevada City",
"state": "CA",
"postal_code": "959598519",
"country_code": "US",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TRAVIS",
"first_name": "JESSICA",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2024-07-16",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nevada City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.