TRAVIS LEE WACHA (NPI# 1104374297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104374297 |
| Entity Type | Individual |
| Full Name | TRAVIS LEE WACHA |
| Credential | FNP-BC |
| Practice Address |
4000 S Loop 256 Palestine TX 75801-8467 |
| Practice Telephone | 9037315000 |
| Mailing Telephone | 9037315000 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2017-02-10 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP131990 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4000 S LOOP 256 |
| City | PALESTINE |
| State | TX |
| Zip Code | 75801-8467 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073501375 | Susan A Barrows | Pediatrics | 4000 S Loop 256, Sleep Disorders Center, Prrh, Palestine, TX 75801-8467 | 2005-10-11 |
| 1467981837 | Jimmie Arceneaux Jr. | Occupational Therapist | 4000 S Loop 256, Palestine, TX 75801-8467 | 2017-06-08 |
| 1679002554 | Tonya Jewell | Physical Therapy Assistant | 4000 S Loop 256, Palestine, TX 75801-8467 | 2017-06-05 |
| 1679876874 | Palestine Principal Healthcare Limited Partnership | Rehabilitation Unit | 4000 S Loop 256, Palestine, TX 75801-8467 | 2010-12-09 |
| 1093964264 | Palestine Principal Healthcare Limited Partnership | Ambulance | 4000 S Loop 256, Palestine, TX 75801-8467 | 2008-09-12 |
| 1427240688 | Palestine Principal Healthcare Limited Partnership | Rehabilitation Unit | 4000 S Loop 256, Palestine, TX 75801-8467 | 2007-08-13 |
| 1891860235 | Palestine Principal Healthcare Limited Partnership | Psychiatric Unit | 4000 S Loop 256, Palestine, TX 75801-8467 | 2006-11-21 |
| 1326113762 | Palestine Principal Healthcare Limited Partnership | Rehabilitation Hospital | 4000 S Loop 256, Palestine, TX 75801-8467 | 2006-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669095113 | Savannah Lee Brumley | Speech-Language Pathologist | 550 Anderson County Road 160, Palestine, TX 75801 | 2020-05-19 |
| 1154964997 | Holly Studdard | Massage Therapist | 479 Acr 3971, Palestine, TX 75801 | 2019-10-24 |
| 1174096093 | Lisa Ann Tuley | Social Worker | 2001 Acr 156 #9, Palestine, TX 75801 | 2019-01-03 |
| 1194253955 | Scion Management Group Inc. | Durable Medical Equipment & Medical Supplies | 2256 S Sycamore St Ste 1, Palestine, TX 75801 | 2017-05-24 |
| 1225565013 | Blessed Beginnings Birth Center | Midwife | 3950 S. Hwy 19, Palestine, TX 75801 | 2017-05-11 |
| 1487060711 | Prakash Gadhiya | Dentist | 419 Old Elkhart Rd., Palestine, TX 75801 | 2014-07-08 |
| 1821428640 | Deonna Michelle Bynum | Nurse Practitioner | 126 Medical Drive, Suite B, Palestine, TX 75801 | 2013-11-14 |
| 1811249253 | Michael G. Key D.c. PC | Chiropractor | 2803 W. Oak Street, Palestine, TX 75801 | 2012-10-10 |
| 1740447747 | Andre Thomas | Orthopaedic Surgery | 4002 Loop 256, Suite G, Palestine, TX 75801 | 2008-05-19 |
| 1609055631 | Kathie S Carrier&medical Transport Dba | Non-emergency Medical Transport (VAN) | 1965 Anderson County Road 2101, Palestine, TX 75801 | 2007-10-26 |
| Find all providers in zip 75801 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629601810 | Kelley Elizabeth Slate | Nurse Practitioner | 2217 S Sycamore St Ste 101, Palestine, TX 75801-4785 | 2020-02-17 |
| 1194365452 | Ameralena Rappold | Nurse Practitioner | 1200 E Lacy St, Palestine, TX 75801-4851 | 2020-01-14 |
| 1578101655 | Sandra Elaine Thorne | Nurse Practitioner | 242 Sfc 102, Palestine, AR 72372-8510 | 2019-12-19 |
| 1558843276 | Lori Berry | Nurse Practitioner | 1604 Salt Works Rd, Palestine, TX 75803-3927 | 2018-08-29 |
| 1053304626 | Natalie Karen Burks | Nurse Practitioner | 100 Willow Creek Pkwy, Suite C, Palestine, TX 75801-4383 | 2005-08-29 |
| 1831714856 | Debbie Banuelos Hernandez | Nurse Practitioner | 8 Meadow Dr, Palestine, TX 75801-5122 | 2020-06-15 |
| 1962024018 | Hometown Family Medical Clinic, LLC | Nurse Practitioner | 411 Main St, Palestine, AR 72372 | 2020-05-12 |
| 1437710134 | Jennifer L Whitfield | Nurse Practitioner | 111 Medical Dr, Palestine, TX 75801-4781 | 2019-06-24 |
| 1275190944 | John Thomas Mccurdy | Nurse Practitioner | 116 Medical Dr, Palestine, TX 75801-4780 | 2019-05-28 |
| 1154986594 | Elizabeth George | Nurse Practitioner | 2900 S Loop 256, Palestine, TX 75801-6958 | 2019-05-01 |
| Find all providers in PALESTINE | ||||
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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.