JENNIFER LYN TRAVIS (NPI# 1326517764) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326517764 |
| Entity Type | Individual |
| Full Name | JENNIFER LYN TRAVIS |
| Practice Address |
59 Myrtle Ave Mahopac NY 10541-4640 |
| Practice Telephone | 8454162747 |
| Enumeration Date | 2018-11-14 |
| Last Update Date | 2018-11-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TS0200X |
Psychologist Specialization: School |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639536907 | Jennifer Marie Travis | Registered Nurse | 12018 Clear Lake South Rd E, Eatonville, WA 98328-8300 | 2016-01-18 |
| 1154755692 | Jennifer Marie Travis | Nurse Practitioner | 2301 E Evesham Rd Ste 122, Voorhees, NJ 08043-4509 | 2013-09-01 |
| 1225688336 | Jennifer G Travis | Nurse Practitioner | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2019-09-19 |
| 1336614502 | Jennifer L Travis | Social Worker | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2018-10-03 |
| 1770008757 | Jennifer Johnnae Travis | Psychologist | 2421 Tech Center Ct, Las Vegas, NV 89128-0804 | 2017-08-10 |
| 1225567746 | Jennifer Travis | Speech-Language Pathologist | 215 Dunbar Cave Rd Ste A, Clarksville, TN 37043-8850 | 2017-06-08 |
| 1730439043 | Jennifer L Travis | Registered Nurse | 4531 Se Belmont St, Ste 100, Portland, OR 97215-1675 | 2012-09-13 |
| 1992087076 | Jennifer Travis | Counselor | 300 Howard St, Framingham, MA 01702-8313 | 2011-09-14 |
| 1134330475 | Jennifer Lynne Travis | Optometrist | 3625 Dallas Hwy Sw, Suite 660, Marietta, GA 30064-5912 | 2007-05-25 |
| Street Address |
59 MYRTLE AVE |
| City | MAHOPAC |
| State | NY |
| Zip Code | 10541-4640 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881216539 | Erin Grace Ricciardi | Speech-Language Pathologist | 572 Us-6, Mahopac, NY 10541 | 2020-05-15 |
| 1053963264 | Jaleesa Lucas | Occupational Therapy Assistant | 530 Us-6, Mahopac, NY 10541 | 2019-07-09 |
| 1437717535 | Michelle Gervasi | Registered Nurse | 182 Bullethole Rd, Mahopac, NY 10541 | 2019-06-03 |
| 1952968448 | Landman General and Implant Dentistry, Pllc | Clinic/Center | Landman Dentistry By The Lake Pllc, 21 Clark Pl, Mahopac, NY 10541 | 2019-05-21 |
| 1063995934 | Amanda Jean Basting | Speech-Language Pathologist | 572 Us 6, Mahopac, NY 10541 | 2018-09-07 |
| 1669980801 | Kelly Marie Banker | Early Intervention Provider Agency | 120 Vista Terrace S., Mahopac, NY 10541 | 2018-01-22 |
| 1154831485 | Sheila A Samuels | Registered Nurse | 214 Willow Drive, Mahopac, NY 10541 | 2017-09-29 |
| 1215476031 | Rachek Glock | Pharmacist | 100 East Lake Blvd, Mahopac, NY 10541 | 2017-02-13 |
| 1831646223 | Catherine Westcott | Specialist | 23 Stuart Road, Mahopac, NY 10541 | 2016-09-02 |
| 1871925263 | Mansi Upadhyaya | Pharmacist | 100 East Lake Boulevard, Mahopac, NY 10541 | 2013-08-07 |
| Find all providers in zip 10541 | ||||
| Taxonomy Code | 103TS0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | School |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427520667 | Marisa Ann Perez | Psychologist | 27 Teakettle Spout Rd, Mahopac, NY 10541-4239 | 2018-12-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860612 | Zoe Spiegel | Psychologist | 20 Harding Dr, New Rochelle, NY 10801-4610 | 2020-10-28 |
| 1053910059 | Erin Elizabeth Gurdineer | Psychologist | 131 South Third St, Northville, NY 12134-0608 | 2020-10-21 |
| 1114534310 | Alana May Sandberg | Psychologist | 10421 68th Dr Apt A20, Forest Hills, NY 11375-3475 | 2020-09-30 |
| 1437766177 | Danielle Brudner | Psychologist | 18 Cygnet Rd, Congers, NY 10920-1790 | 2020-09-27 |
| 1023624145 | Karleen Marie Gabriel | Psychologist | 35 Steven Pl, Smithtown, NY 11787-5419 | 2020-09-23 |
| 1730795832 | Erin A Hyle | Psychologist | 9 Maywood Ave, Rye Brook, NY 10573-2401 | 2020-09-23 |
| 1083220826 | Tina Ruggiero | Psychologist | 61 Fox Ct, Manorville, NY 11949-2613 | 2020-09-17 |
| 1952917650 | Margaret Jane Willard | Psychologist | 167 15th St Apt 2l, Brooklyn, NY 11215-4849 | 2020-09-17 |
| 1902410137 | Dana Levine | Psychologist | 7 Chester Dr, Great Neck, NY 11021-4904 | 2020-09-04 |
| 1871107946 | Michele D Jefferson | Psychologist | 66 Main St Apt 525, Yonkers, NY 10701-8853 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on JENNIFER LYN TRAVIS.
| 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.