Active NPI
Dawn M. Travelstead, M.S., R.D., L.D.
- Registered Dietitian
- Albuquerque, NM
National Provider Identifier
1962522284
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 143
- Practice address
- 201 Cedar St SE
Albuquerque, NM 87106-4917 - Phone
- (505) 340-6062
- NPI assigned
- Mar 30, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 793 | OR | |
| Registered Dietitian | 133V00000X | 143 | NM | Primary |
Addresses
Primary practice location
201 Cedar St SE
Albuquerque, NM 87106-4917
Mailing address
201 Cedar St SE
Albuquerque, NM 87106-4917
Phone (505) 340-6062
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143 | NM | MD | Clinical Neuropsychologist |
| 793 | OR | MD | Optometrist |
Interoperability endpoints
- dawn.travelstead@direct.lower-elwha-klallam.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1370304000000",
"number": "1962522284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 CEDAR ST SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064917",
"telephone_number": "505-340-6062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 CEDAR ST SE",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871064917",
"telephone_number": "505-340-6062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRAVELSTEAD",
"first_name": "DAWN",
"middle_name": "M.",
"credential": "M.S., R.D., L.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-30",
"last_updated": "2013-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "OR",
"license": "793",
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NM",
"license": "143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.