TRAVIS WILSON (NPI# 1336422476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336422476 |
| Entity Type | Individual |
| Full Name | TRAVIS WILSON |
| Practice Address |
902 S High St Columbia TN 38401-3204 |
| Practice Telephone | 9314906507 |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235695933 | Travis Alexander Wilson | Physical Medicine & Rehabilitation | 10415 State Highway 151 Ste 101, San Antonio, TX 78251-4553 | 2019-02-18 |
| 1568688711 | Travis Dean Wilson | Counselor | 8258 W Orbit Dr, Boise, ID 83709-7876 | 2007-04-17 |
| 1366875767 | Travis J Wilson | Pharmacist | 235 Camden St, Rockland, ME 04841-2563 | 2013-08-21 |
| 1114289022 | Travis J Wilson | Orthopaedic Surgery | 16020 Park Valley Dr, Round Rock, TX 78681-3573 | 2012-06-15 |
| 1154532729 | Travis David Wilson | Anesthesiology | 4502 Medical Dr, San Antonio, TX 78229-4402 | 2007-05-25 |
| 1922181999 | Travis W. Wilson | Dentist | 1042 N Main St, Beaver Dam, KY 42320-1553 | 2006-10-23 |
| 1053408591 | Travis B Wilson | Physician Assistant | 140 W Main St, Suite 100, Springfield, OH 45502-1312 | 2006-10-06 |
| Street Address |
902 S HIGH ST |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063540102 | Mary Davis | Social Worker | 902 S High St, Columbia, TN 38401-3204 | 2007-03-01 |
| 1891072989 | Clancy Kiener | Counselor | 902 S High St, Columbia, TN 38401-3204 | 2011-11-03 |
| 1538445960 | Amber Venable | Case Manager/Care Coordinator | 902 S High St, Columbia, TN 38401-3204 | 2011-10-31 |
| 1518242643 | Julie Bragdon | Case Manager/Care Coordinator | 902 S High St, Columbia, TN 38401-3204 | 2011-10-20 |
| 1487936332 | Andrea Teniece Cochran | Psychologist | 902 S High St, Columbia, TN 38401-3204 | 2011-09-16 |
| 1093097560 | Jolene Catherine Peters | Social Worker | 902 S High St, Columbia, TN 38401-3204 | 2011-09-12 |
| 1720366370 | Andrea Krauss | Counselor | 902 S High St, Columbia, TN 38401-3204 | 2011-08-01 |
| 1093002925 | Penelope Tsotakos | Counselor | 902 S High St, Columbia, TN 38401-3204 | 2011-06-29 |
| 1720372105 | Susan J Soine | Counselor | 902 S High St, Columbia, TN 38401-3204 | 2011-06-03 |
| 1184916132 | Kimberly Nicole Edwards | Case Manager/Care Coordinator | 902 S High St, Columbia, TN 38401-3204 | 2011-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861045122 | Laquile West | Case Manager/Care Coordinator | 312 Angus Dr, Columbia, SC 29223-7758 | 2019-07-16 |
| 1073014247 | Workers Comp Consulting Services LLC | Case Manager/Care Coordinator | 4611 Hard Scrabble Rd Ste 109-101, Columbia, SC 29229-8584 | 2018-02-23 |
| 1972013324 | Labreeshya Critton | Case Manager/Care Coordinator | 6907 Hwy 165 South, Columbia, LA 71415 | 2017-10-11 |
| 1467970558 | Leticia Nichole Branham | Case Manager/Care Coordinator | 352 Davis Ln, Columbia, KY 42728-8884 | 2017-09-08 |
| 1053835645 | Latonya Jones | Case Manager/Care Coordinator | 1313 May Oak Cir, Columbia, SC 29229-9291 | 2017-07-26 |
| 1982126785 | Amber Smith | Case Manager/Care Coordinator | 1615 Hergett Dr, Columbia, SC 29203-5967 | 2017-07-13 |
| 1316499700 | Soncharre Hodges | Case Manager/Care Coordinator | 1222 Medical Center Dr # Dt, Columbia, TN 38401-6402 | 2016-11-01 |
| 1801245923 | Stephanie Dawn Dykes | Case Manager/Care Coordinator | 271 R Gowen Rd, Columbia, KY 42728-8136 | 2016-06-09 |
| 1326494915 | Kiara Harris | Case Manager/Care Coordinator | 1735 Saint Julian Pl, Columbia, SC 29204-2402 | 2016-05-12 |
| 1205290657 | Rachel Steward | Case Manager/Care Coordinator | 6907 Old Hwy 165 South, Columbia, LA 71418 | 2016-04-12 |
| Find all providers in COLUMBIA | ||||
Please comment or provide details below to improve the information on TRAVIS WILSON.
| 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.