Individual provider Active NPI

Travis Allen Rich, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Jamestown, TN
National Provider Identifier
1831731066
Registry record updated Sep 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
26642 Issued in TN
Practice address
340 W Central Ave
Jamestown, TN 38556-3855
Phone
(877) 258-8795
NPI assigned
Oct 9, 2019
Last updated
Sep 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 26642 TN Primary

Addresses

Primary practice location

340 W Central Ave
Jamestown, TN 38556-3855

Mailing address

1040 Range Cemetery Rd
Allardt, TN 38504-5076
Phone (931) 397-6022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200416001207 TN Practitioner - Nurse Practitioner 4183054075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Omni Community Health, Inc.Group PAC ID 5799078804, 11 clinicians
Coffee County Hospital Group IncGroup PAC ID 1456317783, 87 clinicians
Ultacare Medical PLLCGroup PAC ID 4789687484, 52 clinicians

Practice addresses (Care Compare)

1365 Maley Hollow Rd
Dayton, TN 37321-6030
Phone (865) 525-0391

482 Interstate Dr
Suite a
Manchester, TN 37355-3109
Phone (931) 728-4718

606 N Broad St
New Tazewell, TN 37825-6610
Phone (423) 259-5002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ultacare Medical PLLC Psychiatric/Mental Health CurrentSince Jun 1, 2023 Accepting new patients
Omni Community Health, Inc. CurrentSince Mar 4, 2020 Accepting new patients
The Solution Source, LLC. Past Accepting new patients

Locations

1401 Williams St
Ste 210
Chattanooga, TN 37408
Phone (423) 207-4712

2600 Executive Park NW
Cleveland, TN 37312
Phone (423) 458-4122

665 S Jefferson Ave
Cookeville, TN 38501
Phone (931) 528-0051

1365 Maley Hollow Rd
Dayton, TN 37321
Phone (314) 503-7015

1225 E Weisgarber Rd
Ste 190
Knoxville, TN 37909
Phone (423) 259-5002

4709 Papermill Dr
Ste 100
Knoxville, TN 37909

145 Thompson Ln
Nashville, TN 37211
Phone (615) 781-0013

606 N Broad St
New Tazewell, TN 37825
Phone (423) 626-0466

22510 Alberta St
Oneida, TN 37841
Phone (423) 215-9555

5261 Carrollton Pike
Ste A
Woodlawn, VA 24381

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1570579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790726400000",
    "number": "1831731066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 RANGE CEMETERY RD",
            "city": "ALLARDT",
            "state": "TN",
            "postal_code": "385045076",
            "telephone_number": "931-397-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 W CENTRAL AVE",
            "city": "JAMESTOWN",
            "state": "TN",
            "postal_code": "385563855",
            "telephone_number": "877-258-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICH",
        "first_name": "TRAVIS",
        "middle_name": "ALLEN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-09",
        "last_updated": "2026-09-30",
        "certification_date": "2026-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "26642",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, TN

Sources for this page

Verify at the official NPI Registry.