TRAVIS JEWELL (NPI# 1083084875) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083084875 |
| Entity Type | Individual |
| Full Name | TRAVIS JEWELL |
| Credential | FNP |
| Practice Address |
1607 E Us Highway 136 Albany MO 64402-8223 |
| Practice Telephone | 6607263333 |
| Practice Fax Number | 6607263232 |
| Mailing Telephone | 6607263333 |
| Mailing Fax Number | 6607263232 |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
2015035371 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | STATE LICENSE | 2015035371 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 202 E Main St, Stanberry, MO 644891358 | 6607832192 |
| Street Address |
1607 E US HIGHWAY 136 |
| City | ALBANY |
| State | MO |
| Zip Code | 64402-8223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063450518 | Naser O. Soghrati | Internal Medicine | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2006-06-04 |
| 1477920627 | Heartland Regional Medical Center | Home Health | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2015-08-24 |
| 1427201037 | Em Oliver Inc | Internal Medicine | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2008-10-28 |
| 1912190620 | Northwest Medical Center Association, Inc. | Family Medicine | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2007-08-27 |
| 1619004777 | Tenorio & Tenorio Md,pc | Family Medicine | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2007-02-27 |
| 1568599694 | Genoveva Tenorio | Pediatrics | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2007-02-27 |
| 1881729994 | Northwest Medical Center Association, Inc | Home Health | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2007-02-22 |
| 1750442661 | Northwest Medical Center Association, Inc. | Home Health | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2006-12-13 |
| 1689617888 | Angelia D. Martin | Family Medicine | 1607 E Us Highway 136, Nmc Albany Clinic East, Albany, MO 64402-8223 | 2006-06-14 |
| 1053353045 | Jackie S Miller | Family Medicine | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2006-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821137266 | Howell Place LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1304 East Howell St, Albany, MO 64402 | 2007-02-05 |
| 1790837318 | Thomas Clinton Schneider | Dentist | 307 W Clay, Albany, MO 64402 | 2007-01-16 |
| 1245391028 | State of Missouri | Day Training, Developmentally Disabled Services | 809 N 13th St, Albany, MO 64402 | 2006-12-13 |
| 1427603919 | Northwest Health Services, Inc. | Clinic/Center | 101 W Jefferson St, Albany, MO 64402-1237 | 2019-08-02 |
| 1881725497 | Tlc Care Center Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 402 W Jefferson St, Albany, MO 64402-1242 | 2007-03-07 |
| 1174966543 | Albany Behavioral Health Services | Community/Behavioral Health | 115 N Smith St, Albany, MO 64402-1250 | 2013-04-16 |
| 1588973929 | Mary-jennifer Elizabeth Quinley | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2010-10-04 |
| 1942768197 | Kari A O'neal LLC | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2019-03-06 |
| 1467833707 | Kari Ann Oneal | Counselor | 113 N Smith St, Albany, MO 64402-1250 | 2015-06-12 |
| 1134541659 | Ssm Regional Health Services | Ophthalmology | 115 N Smith St, Albany, MO 64402-1250 | 2014-01-17 |
| Find all providers in zip 64402 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131583 | Mfon Bassey | Nurse Practitioner | 14 N Manning Blvd Apt B-25, Albany, NY 12206-1963 | 2020-10-09 |
| 1245837194 | Thomas W Mansfield | Nurse Practitioner | 425 W 3rd Ave Ste 410, Albany, GA 31701-1954 | 2020-10-05 |
| 1770199408 | April Mccluster | Nurse Practitioner | 2753 Bettys Dr, Albany, GA 31705-9510 | 2020-09-17 |
| 1457967317 | Cynthia Ann Chaney | Nurse Practitioner | 4546 Lacosta Dr, Albany, GA 31721-9433 | 2020-09-16 |
| 1083223135 | Jamila Cruz | Nurse Practitioner | 1758 Philema Rd S, Albany, GA 31701-4781 | 2020-07-24 |
| 1083239313 | Danajoy Melissa Vincent | Nurse Practitioner | 416 Partridge Dr, Albany, GA 31707-3038 | 2020-06-12 |
| 1033744602 | Rodesia Ashanta Woodson | Nurse Practitioner | 2504 Devon Dr, Albany, GA 31721-2128 | 2020-03-04 |
| 1972156057 | Kristen Lynn Cook | Nurse Practitioner | 2601 Stuart Ave Ste 100, Albany, GA 31707-1664 | 2019-07-18 |
| 1255992046 | Jennifer Lieberman | Nurse Practitioner | 1365 Washington Ave Ste 100, Albany, NY 12206-1098 | 2019-06-24 |
| 1053976993 | Amanda Bylsma | Nurse Practitioner | 5 Palisades Dr Ste 200, Albany, NY 12205-6433 | 2019-05-07 |
| Find all providers in ALBANY | ||||
Please comment or provide details below to improve the information on TRAVIS JEWELL.
| 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.