Individual provider Active NPI

Jane Travis

  • Physician Assistant
  • Lanham, MD
National Provider Identifier
1912451618
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA031277 Issued in DC
Practice address
8118 Good Luck Rd
Lanham, MD 20706-3574
Phone
(301) 552-8665
NPI assigned
Aug 10, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA031277 DC Primary

Addresses

Primary practice location

8118 Good Luck Rd
Lanham, MD 20706-3574

Mailing address

127 3Rd St NE
Washington, DC 20002-7313

Other practice location 1

127 3rd St NE
Washington, DC 20002-7313
Phone (563) 340-0766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20170224001581 DC Practitioner - Physician Assistant 8325322068 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA031277DCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Urgent Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Johns Hopkins University CurrentSince Jul 15, 2022 Accepting new patients
Medstar Urgent Care LLC CurrentSince Jul 1, 2022 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Jan 1, 2017 Accepting new patients
Johns Hopkins University CurrentSince Jul 15, 2022 Accepting new patients

Locations

1805 Columbia Rd NW
Washington, DC 20009
Phone (202) 797-4950

5255 Loughboro Rd NW
Washington, DC 20016
Phone (202) 243-2280

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

8118 Good Luck Rd
Lanham Seabrook, MD 20706
Phone (301) 552-8608

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

1701 N George Mason Dr
Arlington, VA 22205
Phone (703) 558-5000

100 Fairview Dr
Franklin, VA 23851
Phone (757) 516-1153

Interoperability endpoints

  • Direct secure messaging: jtravis252609@direct.hopkinsmedicine.org

Organizations & group practices 6

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": "1470787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1912451618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 3RD ST NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200027313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8118 GOOD LUCK RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063574",
            "telephone_number": "301-552-8665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 3rd St NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200027313",
            "country_code": "US",
            "telephone_number": "563-340-0766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAVIS",
        "first_name": "JANE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-10",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DC",
            "license": "PA031277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanham, MD

Sources for this page

Verify at the official NPI Registry.