TRAVIS WAYNE ROBERTS (NPI# 1316457534) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316457534 |
| Entity Type | Individual |
| Full Name | TRAVIS WAYNE ROBERTS |
| Credential | NP-C |
| Practice Address |
125 Fairground Rd Prince Frederick MD 20678-4167 |
| Mailing Address |
7779 Bumpy Oak Rd La Plata MD 20646-5635 |
| Practice Telephone | 4105358930 |
| Mailing Telephone | 2406826249 |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
R205253 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI | 1902955396 | 01 | |
| NPI | 1861849051 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3307 Ferry Landing Rd, Dunkirk, MD 207549647 | 7187912223 | |
| 7779 Bumpy Oak Rd, La Plata, MD 206465635 | 2406826249 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831290378 | Travis Andrew Roberts | Dentist | 2119 Minnesota Ave, Kansas City, KS 66102-4145 | 2006-09-26 |
| 1689101586 | Travis Roberts | Speech-Language Pathologist | 40 Glenridge Dr, Augusta, ME 04330-6606 | 2017-05-23 |
| 1104087048 | Travis Roberts | Family Medicine | 709 W 8th St, Suite 4, Gillette, WY 82716-4125 | 2008-06-23 |
| Street Address |
125 FAIRGROUND RD |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-4167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306210638 | Dwi Services, Inc | Counselor | 125 Fairground Rd, Prince Frederick, MD 20678-4167 | 2015-11-24 |
| 1619403821 | Dwi Services Inc | Substance Abuse Rehabilitation Facility | 125 Fairground Rd, Prince Frederick, MD 20678-4167 | 2017-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235602905 | Kwabena A Asante | Nurse Practitioner | 205 Steeple Chase Dr Ste 206, Prince Frederick, MD 20678-4056 | 2019-01-06 |
| 1073598462 | Lacy Twining Pitman | Nurse Practitioner | 130 Hospital Rd, Suite 201, Prince Frederick, MD 20678-4015 | 2005-12-08 |
| 1740891548 | Hannah Rose Filippelli | Nurse Practitioner | 130 Hospital Rd Ste 101, Prince Frederick, MD 20678-4029 | 2020-08-14 |
| 1649835968 | Rea Anastacio Colby | Nurse Practitioner | 130 Hospital Rd Ste 101, Prince Frederick, MD 20678-4029 | 2019-05-02 |
| 1902384258 | Upeksha Sewwandi Thilakawardana | Nurse Practitioner | 100 Hospital Rd, Prince Frederick, MD 20678-4017 | 2018-07-30 |
| 1588165724 | Rachel Elaine Sherman | Nurse Practitioner | 238 Merrimac Ct, Prince Frederick, MD 20678-6113 | 2018-02-22 |
| 1619329653 | Sita M Pfalz | Nurse Practitioner | 110 Hospital Rd, Suite 214, Prince Frederick, MD 20678-4019 | 2016-07-01 |
| 1760869382 | Tamara Bonsack Cheater | Nurse Practitioner | 995 N. Prince Frederick Blvd, Suite 204, Prince Frederick, MD 20678 | 2015-05-04 |
| 1760870554 | Terry Lee Nunley | Nurse Practitioner | 280 Stafford Rd, Prince Frederick, MD 20678 | 2014-12-31 |
| 1366597734 | Elaine Cira | Nurse Practitioner | 110 Hospital Rd Ste 310, Prince Frederick, MD 20678-4041 | 2007-01-24 |
| Find all providers in PRINCE FREDERICK | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
Please comment or provide details below to improve the information on TRAVIS WAYNE ROBERTS.
| 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.