TRAVIS JOHN PETERS (NPI# 1053824102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053824102 |
| Entity Type | Individual |
| Full Name | TRAVIS JOHN PETERS |
| Credential | NA |
| Practice Address |
1501 Airport Rd Waukesha WI 53188-2461 |
| Mailing Address |
2634 S 72nd St West Allis WI 53219-2533 |
| Practice Telephone | 2625487986 |
| Practice Fax Number | 2629704799 |
| Mailing Telephone | 4145313722 |
| Enumeration Date | 2017-11-12 |
| Last Update Date | 2017-11-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 376K00000X | Nurse's Aide | 347962 | WI | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255980660 | Travis Glenn Peters | Pharmacist | 1801 N Main St, Madisonville, KY 42431-9024 | 2019-09-09 |
| Street Address |
1501 AIRPORT RD |
| City | WAUKESHA |
| State | WI |
| Zip Code | 53188-2461 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629043765 | Shara Grover | Psychiatry & Neurology | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2006-02-22 |
| 1952930380 | Shane Bunek | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2020-04-07 |
| 1700415155 | Olga Santana | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2020-04-07 |
| 1265066013 | Pamela Valnick | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2020-03-02 |
| 1356974836 | Elizabeth Stenson | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2020-02-13 |
| 1306486295 | Mary Seaman | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2020-01-09 |
| 1619532918 | Allen Fakler | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2019-05-02 |
| 1356800882 | Joy Nicole Schiesl | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2019-03-14 |
| 1558829085 | Angelica L Smith | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2019-03-04 |
| 1336603018 | Anne Margaret Horbinski | Registered Nurse | 1501 Airport Rd, Waukesha, WI 53188-2461 | 2019-01-26 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336787126 | Nicole Lee Berg-johnson | Nurse Practitioner | 820 Crestwood Dr., Waukesha, WI 53188 | 2019-12-12 |
| 1013475706 | Rachel Mueller | Occupational Therapist | 29667 Summit Ave, S11, Waukesha, WI 53188 | 2019-03-12 |
| 1861962649 | Emily Elizabeth Seefeld | Occupational Therapy Assistant | 29667 Summit Ave S11, Waukesha, WI 53188 | 2018-12-05 |
| 1003393307 | Ashley Susan Callahan | Dental Hygienist | 711 W. Moreland Blvd., Suite 204, Waukesha, WI 53188 | 2018-07-19 |
| 1245741321 | Melissa Weir | Case Manager/Care Coordinator | 514 Riverview Avenue, Waukesha, WI 53188 | 2017-10-17 |
| 1093233629 | Patricia Marie Sombrio | Dental Hygienist | 711 Moreland Blvd 204, Waukesha, WI 53188 | 2017-09-04 |
| 1134660244 | Bdg of Wisconsin, Inc. | Behavioral Analyst | N19w2309 Riverwood Drive, Suite 350 Pmb 314, Waukesha, WI 53188 | 2017-03-09 |
| 1255888731 | Lynne Sarah Alva | Dental Hygienist | 711 Moreland Blvd, Suite 204, Waukesha, WI 53188 | 2016-09-01 |
| 1881069730 | Michelle Koch | Occupational Therapist | 29667 Summit Ave. S11, Waukesha, WI 53188 | 2015-12-03 |
| 1952711012 | Rhonda Schroeder | Dental Hygienist | W286 N991 Shepherds Way, Waukesha, WI 53188 | 2014-04-29 |
| Find all providers in zip 53188 | ||||
| Taxonomy Code | 376K00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Nurse's Aide |
| (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. |
| Notes: Source: (1) American Nurses Association, Registered Professional Nurses and Unlicensed Personnel, 2nd ed., 1996; (2) Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790384188 | Porshae Kimble | Nurse's Aide | 4428 W Lloyd St, Milwaukee, WI 53208-1207 | 2020-10-18 |
| 1629690680 | Francillya Blake | Nurse's Aide | 1811 W Galena St, Milwaukee, WI 53205-1507 | 2020-05-13 |
| 1376180182 | Cassandra Jean Strzyzykowski | Nurse's Aide | 1731 S Crosby Ave, Janesville, WI 53546-5613 | 2019-11-30 |
| 1801431713 | Roselyn Britton | Nurse's Aide | 5924 Jackson Quarry Ln Apt 201, Madison, WI 53718-9257 | 2019-11-14 |
| 1891262788 | Employment Options of North Central Wi Inc. | Nurse's Aide | 109 N Stevens St, Rhinelander, WI 54501-3159 | 2018-10-29 |
| 1881180362 | Mary Mayes | Nurse's Aide | 8825 W Thurston Ave, Milwaukee, WI 53225-2830 | 2018-07-08 |
| 1457861379 | Beverly Faye Hardiman | Nurse's Aide | 524 N 5th St, Manitowoc, WI 54220-6842 | 2017-10-05 |
| 1366980724 | Opportunity of North Central Wisconsin, Inc. | Nurse's Aide | 1707 E Wausau Ave, Wausau, WI 54403-3137 | 2017-02-06 |
| 1740662527 | Aneita Taylor-service | Nurse's Aide | 7836 N Faulkner Rd, Milwaukee, WI 53224-3421 | 2015-06-29 |
| 1679963763 | Jasmine Mitchell | Nurse's Aide | 1724 Birch Rd, Apt 203, Kenosha, WI 53140-4537 | 2015-01-28 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.