Individual provider Active NPI

Travis Duane Williams, APRN, FNP-C

  • Family Nurse Practitioner
  • Roeland Park, KS
National Provider Identifier
1992435143
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
53-81784-03 Issued in KS
Practice address
5675 Roe Blvd
Roeland Park, KS 66205-2515
Phone
(913) 432-2080
NPI assigned
Jun 12, 2022
Last updated
Dec 15, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 53-81784-03 KS Primary
Critical Care Medicine Registered Nurse 163WC0200X 2017018483 MO

Addresses

Primary practice location

5675 Roe Blvd
Roeland Park, KS 66205-2515

Mailing address

5675 Roe Blvd
Roeland Park, KS 66205-2515

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS, MO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230227002799 KS Practitioner - Nurse Practitioner 7315310075 Reassigns benefits to 1 organization
I20240521002812 MO Practitioner - Nurse Practitioner 7315310075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Carenow Urgent Care LLCGroup PAC ID 8527340702, 71 clinicians

Practice addresses (Care Compare)

13761 Metcalf Ave
Overland Park, KS 66223-7899
Phone (913) 814-3788

3509 SW Market St
Lees Summit, MO 64082-2327
Phone (816) 366-1197

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53-81784-03KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kansas Carenow Urgent Care LLC CurrentSince Apr 29, 2024 Accepting new patients
Carespot Professional Services LLC PastSince Aug 4, 2015 Accepting new patients

Locations

13761 Metcalf Ave
Overland Park, KS 66223
Phone (913) 814-3788

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

1300 E North Ave
Belton, MO 64012
Phone (816) 406-3443

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

3509 SW Market St
Lees Summit, MO 64082
Phone (816) 366-1197

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1654992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1992435143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5675 ROE BLVD",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5675 ROE BLVD",
            "city": "ROELAND PARK",
            "state": "KS",
            "postal_code": "662052515",
            "telephone_number": "913-432-2080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TRAVIS",
        "middle_name": "DUANE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-12",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-81784-03",
            "primary": true
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MO",
            "license": "2017018483",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roeland Park, KS

Sources for this page

Verify at the official NPI Registry.