Individual provider Active NPI

Travis Nathaniel Meade, RN

  • Registered Nurse
  • Bristol, VA
National Provider Identifier
1992328470
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
0001196634 Issued in VA
Practice address
13608 King Mill Pike
Bristol, VA 24202-4442
Phone
(276) 591-7260
NPI assigned
May 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Registered Nurse 163WC0400X 0001196634 VA
Registered Nurse 163W00000X 0001196634 VA Primary

Addresses

Primary practice location

13608 King Mill Pike
Bristol, VA 24202-4442

Mailing address

13608 King Mill Pike
Bristol, VA 24202-4442
Phone (276) 591-7260

Other practice location 1

Kayenta Health Center
Hwy 160 M.P. 394.3
Kayenta, AZ 86033
Phone (928) 697-4000

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
0001196634VAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1992328470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13608 KING MILL PIKE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242024442",
            "telephone_number": "276-591-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13608 KING MILL PIKE",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242024442",
            "telephone_number": "276-591-7260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Kayenta Health Center",
            "address_2": "HWY 160 M.P. 394.3",
            "address_purpose": "LOCATION",
            "city": "Kayenta",
            "state": "AZ",
            "postal_code": "86033",
            "country_code": "US",
            "telephone_number": "928-697-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADE",
        "first_name": "TRAVIS",
        "middle_name": "NATHANIEL",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "VA",
            "license": "0001196634",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "VA",
            "license": "0001196634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.