Individual provider Active NPI

Travis Chapman, NP

  • Family Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1912247263
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9435037 Issued in FL
Practice address
4450 N State Road 7
Ste 1
Coral Springs, FL 33073-3354
Phone
(423) 408-7220
Fax
(423) 405-7405
NPI assigned
Feb 25, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 17348 TN
Family Nurse Practitioner 363LF0000X 9435037 FL Primary
Family Nurse Practitioner 363LF0000X AC001862 MD

Addresses

Primary practice location

4450 N State Road 7
Ste 1
Coral Springs, FL 33073-3354

Mailing address

4450 N State Road 7
Ste 1
Coral Springs, FL 33073-3354
Phone (423) 408-7220

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20170301000844 FL Practitioner - Nurse Practitioner 6103064480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Solantic/South Florida LLCGroup PAC ID 5496762171, 27 clinicians

Practice addresses (Care Compare)

4450 N State Rd
7 Suite 1
Coral Springs, FL 33073-3354
Phone (954) 633-1422

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9435037FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Solantic/South Florida, LLC CurrentSince Aug 18, 2016 Accepting new patients

Locations

4450 N State Road 7
Ste 1
Coral Springs, FL 33073
Phone (423) 408-7220

9035 Pines Blvd
Pembroke Pines, FL 33024
Phone (954) 340-5881

115 Eastpark Dr
Ste 300
Brentwood, TN 37027

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1361750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1912247263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 N STATE ROAD 7",
            "address_2": "STE 1",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330733354",
            "telephone_number": "423-408-7220",
            "fax_number": "423-405-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 N STATE ROAD 7",
            "address_2": "STE 1",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330733354",
            "telephone_number": "423-408-7220",
            "fax_number": "423-405-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPMAN",
        "first_name": "TRAVIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-02-25",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "17348",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9435037",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "AC001862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.