NPIMap

Individual provider Active NPI

Travis Chandler, NP-C

  • Primary Care Nurse Practitioner
  • Burley, ID
National Provider Identifier
1861927634
Registry record updated Apr 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
27663 Issued in ID
Practice address
1900 Conant Ave
Burley, ID 83318-2333
Phone
(208) 670-5922
NPI assigned
Apr 28, 2017
Last updated
Apr 28, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 27663 ID
Gerontology Nurse Practitioner 363LG0600X 27663 ID
Primary Care Nurse Practitioner 363LP2300X 27663 ID Primary

Addresses

Primary practice location

1900 Conant Ave
Burley, ID 83318-2333

Mailing address

1900 Conant Ave
Burley, ID 83318-2333
Phone (208) 670-5922

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180725003775 ID Practitioner - Nurse Practitioner 3971850603 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dandg Medical Associates PLLCGroup PAC ID 6709140510, 16 clinicians

Practice addresses (Care Compare)

1430 W Ustick Rd
Suite 100
Meridian, ID 83646-7734
Phone (208) 286-8670

640 Frogs LNDG
Hagerman, ID 83332-5034
Phone (208) 837-6161

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Family Practice Inc CurrentSince Jul 1, 2018 Accepting new patients
Associates in Family Practice Inc CurrentSince Jul 1, 2018 Accepting new patients
D&G Medical Associates PLLC CurrentSince Nov 1, 2024 Accepting new patients
Precision Medical Care LLC CurrentSince Jan 1, 2025 Accepting new patients
Associates in Family Practice Inc Current Accepting new patients

Locations

200 W Beech St
Caldwell, ID 83605
Phone (208) 459-3335

425 Idaho St
Gooding, ID 83330
Phone (208) 934-5900

640 Frogs Lndg
Hagerman, ID 83332
Phone (208) 731-6241

3155 Channing Way
Idaho Falls, ID 83404
Phone (801) 699-6344

1430 W Ustick Rd
Meridian, ID 83646

1430 W Ustick Rd
Ste 100
Meridian, ID 83646

2965 E Tarpon Dr
Ste 110
Meridian, ID 83642
Phone (208) 617-6455

410 N Idaho St
Wendell, ID 83355
Phone (208) 536-3995

1633 W Innovation Way
Fl 5
Lehi, UT 84043
Phone (801) 699-6344

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCBGBD

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493337600000",
    "number": "1861927634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 CONANT AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182333",
            "telephone_number": "208-670-5922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 CONANT AVE",
            "city": "BURLEY",
            "state": "ID",
            "postal_code": "833182333",
            "telephone_number": "208-670-5922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "TRAVIS",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-28",
        "last_updated": "2017-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ID",
            "license": "27663",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "ID",
            "license": "27663",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ID",
            "license": "27663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burley, ID

Sources for this page

Verify at the official NPI Registry.