Shannon Traylor

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Practice address

3550 Camino del Rio N Ste 104
San Diego, CA 92108-1738

Phone

(760) 634-1125

NPI assigned

Sep 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1891278404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 NOBEL DR UNIT 1340",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921224526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 CAMINO DEL RIO N STE 104",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921081738",
            "telephone_number": "760-634-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYLOR",
        "first_name": "SHANNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-10",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimber Rena Travis
• Terran Travis, DPT
• Joseph Traxler, M.D.
• Kathleen Traxler
• Janet Traylor, MA, LMFT
• Joleen Trear
• Susan Geraldine Trebon, PAC
• Stephanie Trecha
• Elizabeth Treeheart, P.T.
• Christine Elizabeth Treffer, M.D.

• Community/Behavioral Health Agency in San Diego, CA
• Providers in San Diego, CA by specialty
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.