Active NPI
Colleen Travers
- Registered Nurse
- Charlotte, NC
National Provider Identifier
1922819879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 291592
- Practice address
- 3621 Randolph Rd
Charlotte, NC 28211-1317 - Phone
- (980) 288-3146
- NPI assigned
- Jan 17, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 291592 | NC | Primary |
Addresses
Primary practice location
3621 Randolph Rd
Charlotte, NC 28211-1317
Mailing address
108 Fenway Rd
Asheville, NC 28804-0178
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291592 | NC | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1922819879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 FENWAY RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288040178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3621 RANDOLPH RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111317",
"telephone_number": "980-288-3146"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVERS",
"first_name": "COLLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-17",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "291592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
- Trauma Assessment & Treatment Center, PLLC (Leslie L. Williams)
- Traveling Tulips LLC (HomeWell Care Services)
- Andrew Huntley Travelli, MD
- Frances Chen Travelli, M.D.
- Sophia Angelina Traven, M.D.
- Tasheka Shanelle Travers, MSW, LCSW
- Katrina Traverso, FNP
- Amy Wright Travis, LCSW
- Donna Travis, LCSW
- Khalil Travis
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.