MR. KENDALL TRAE TRAVIS (NPI# 1174945661) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174945661 |
| Entity Type | Individual |
| Full Name | MR. KENDALL TRAE TRAVIS |
| Credential | PT, DPT |
| Practice Address |
106 Rowse Dr Lynchburg VA 24502-5323 |
| Practice Telephone | 4342378160 |
| Practice Fax Number | 4342378161 |
| Mailing Telephone | 4342378160 |
| Mailing Fax Number | 4342378161 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 2305208170 | VA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 2305208170 | 05 |
| Street Address |
106 ROWSE DR |
| City | LYNCHBURG |
| State | VA |
| Zip Code | 24502-5323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811523038 | Vivian Tran | Student in an Organized Health Care Education/Training Program | Liberty University College of Osteopathic Medicine, 306 Liberty View Ln, Lynchburg, VA 24502 | 2020-03-19 |
| 1669005468 | Beth Elaine Hammond | Nurse Practitioner | 132 Frederick Drive, Lynchburg, VA 24502 | 2020-02-20 |
| 1225672348 | Pearlren-aye Elizabeth Taylor | Case Management | 542 Leesville Rd, Apt 127, Lynchburg, VA 24502 | 2019-10-31 |
| 1821553868 | Shavonne D Joyner | Behavioral Analyst | 18697 Forest Road, Lynchburg, VA 24502 | 2019-02-04 |
| 1043794415 | Robert Patrick Thomas | Private Vehicle | 44 Point Drive, Apt 30, Lynchburg, VA 24502 | 2018-09-20 |
| 1023503521 | Ptc Wellness Centers PC | Family Medicine | 2832 Candlers Mtn Rd, Lynchburg, VA 24502 | 2018-06-27 |
| 1548750722 | Raymond W Andrews IIi | Speech-Language Pathologist | 3101 Wards Ferry Road, Lynchburg, VA 24502 | 2018-05-14 |
| 1932697596 | Barbara J Frost | Nurse Practitioner | 906 Westview Dr, Lynchburg, VA 24502 | 2018-04-28 |
| 1619476983 | Benjamin Aaron Galley | Specialist/Technologist | 1971 University Blvd., Lynchburg, VA 24502 | 2018-02-01 |
| 1477076180 | Candice Cage | Home Health | 1002 Wexford Place, Lynchburg, VA 24502 | 2017-07-25 |
| Find all providers in zip 24502 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306002977 | Maxwell Carlton Feinman | Specialist | 4405 Williams Rd, Lynchburg, VA 24503-1141 | 2008-08-04 |
| 1386814747 | Lisa Ann Settje | Specialist | 207 Maple Hills Dr, Lynchburg, VA 24502-4421 | 2008-03-01 |
| 1346360559 | David Wright Barnes | Specialist | 3365 Lawyers Rd, Lynchburg, VA 24501-7166 | 2007-03-30 |
| 1184743312 | Carolyn Ann Hobbs | Specialist | 1033 Langhorne Rd, Lynchburg, VA 24503-2560 | 2007-03-28 |
| 1992819619 | Jeffrey H Widmeyer | Specialist | 7626 Timberlake Rd, Lynchburg, VA 24502-2325 | 2006-08-19 |
| 1104831585 | Karen B Larocca | Specialist | 20311 Timberlake Rd Ste B, Lynchburg, VA 24502-7203 | 2006-07-31 |
| 1922030733 | Timothy B. Hellewell | Specialist | 113 Nationwide Drive, Lynchburg, VA 24502 | 2006-07-06 |
| 1538138680 | Mohammed Khairul Ashraf | Specialist | 2091 Langhorne Rd, Lynchburg, VA 24501-1428 | 2006-03-14 |
| 1508833591 | Asad G. Ehtesham | Specialist | 103 Clifton St, Lynchburg, VA 24501-1460 | 2006-03-08 |
| 1942274733 | Thomas Gregory Bowman | Specialist | 1501 Lakeside Dr, Lynchburg, VA 24501-3113 | 2006-02-16 |
| Find all providers in LYNCHBURG | ||||
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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.