PAMELA W TRAVIS (NPI# 1376659102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376659102 |
| Entity Type | Individual |
| Full Name | PAMELA W TRAVIS |
| Credential | ANP |
| Practice Address |
13 Industrial Park Rd Saco ME 04072-1804 |
| Mailing Address |
1 Medical Center Dr Biddeford ME 04005-9422 |
| Practice Telephone | 2072838800 |
| Practice Fax Number | 2072869853 |
| Mailing Telephone | 2072838800 |
| Mailing Fax Number | 2072869853 |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2019-04-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | CNP81008 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
CNP81008 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
R037386 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | 1376659102 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770112310 | Pamela I Travis | Licensed Vocational Nurse | 7151 Woodlake Pkwy Lot 251, San Antonio, TX 78218-3749 | 2020-04-06 |
| Street Address |
13 INDUSTRIAL PARK RD |
| City | SACO |
| State | ME |
| Zip Code | 04072-1804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952371684 | Maura Beverlin Price | Pediatrics | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2006-01-25 |
| 1386159077 | Rachael Bernice Pillar | Nurse Practitioner | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2017-12-05 |
| 1255869897 | Robert Cole Hurley | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2017-05-26 |
| 1447571864 | Catherine Gisele Boucher-cornelio | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072 | 2010-06-21 |
| 1073833703 | Anastasia R Norman | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072 | 2010-06-04 |
| 1245465038 | Bradley Smith | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2009-05-21 |
| 1528215506 | Andrea M Wright | Physician Assistant | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2008-08-21 |
| 1205892858 | Leslie N Tripp | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2006-04-24 |
| 1255396628 | Alan Potyk | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2006-04-19 |
| 1033174255 | Mark H Rolerson | Family Medicine | 13 Industrial Park Rd, Saco, ME 04072-1804 | 2006-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962043786 | Maine Safe Ride Services | Non-emergency Medical Transport (VAN) | 32 Water St, Suite 4, Saco, ME 04072 | 2019-10-02 |
| 1821656810 | Rebecca Akins | Occupational Therapist | Mainely Kidz Pt, 895 Portland Rd., Saco, ME 04072 | 2019-06-04 |
| 1376045070 | Ashley A Cardurns | Nurse Practitioner | 15 Moody St, Saco, ME 04072 | 2018-03-08 |
| 1861990103 | Morgan Dube | Specialist/Technologist | 21 Evergreen Dr, Saco, ME 04072 | 2018-01-31 |
| 1639603004 | Jodi Morris | Massage Therapist | 10 School Street 2nd Floor, Saco, ME 04072 | 2017-04-12 |
| 1073812665 | Elisabeth Geralyn Holdsworth | Specialist | 895 Portland Road, Saco, ME 04072 | 2011-03-22 |
| 1336378181 | Ah Inn Associates LLC | Assisted Living Facility | 100 Harbor Drive, Saco, ME 04072 | 2009-07-14 |
| 1326286634 | Bambi Morgan Delattre | Counselor | 655 Maine Street, Saco, ME 04072 | 2009-01-23 |
| 1215054143 | Meret Claudia Bainbridge | Acupuncturist | 35 Storer St, Saco, ME 04072 | 2007-03-24 |
| 1023104155 | Lynne M Tetreault | Pediatrics | 5 Scamman St., Saco, ME 04072 | 2006-10-05 |
| Find all providers in zip 04072 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083725998 | Mary M Hannaford | Nurse Practitioner | 655 Main St, Saco, ME 04072-1543 | 2006-08-31 |
| 1427001247 | Cynthia B Menard | Nurse Practitioner | 655 Main St, Saco, ME 04072-1543 | 2006-05-19 |
| 1104802313 | Catherine L Sinclair | Nurse Practitioner | 655 Main St, Saco, ME 04072-1543 | 2005-12-20 |
| 1215913421 | Judith A Metcalf | Nurse Practitioner | 655 Main St, Saco, ME 04072-1543 | 2005-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497309652 | Dorothy Elizabeth Zirkle | Nurse Practitioner | 66 Bramhall St Ste Gi, Portland, ME 04102-3344 | 2019-07-26 |
| 1336614346 | Kari Whitney | Nurse Practitioner | Vna Home Health Hospice, 50 Foden Road, Suite 1, South Portland, ME 04106 | 2018-10-05 |
| 1669742284 | Yvonne A Peabbles | Nurse Practitioner | 665 Saco St, 28, Westbrook, ME 04092-2023 | 2012-01-12 |
| 1891933677 | Sarah Katherine Adams | Nurse Practitioner | 99 Campus Ave Ste 201, Lewiston, ME 04240-6045 | 2009-02-02 |
| 1659536662 | Michelle Suzanne Morgan | Nurse Practitioner | 4 Glen Cove Dr Ste 102, Rockport, ME 04856-4236 | 2008-07-20 |
| 1669595369 | Michael A Mckay | Nurse Practitioner | 22 Bramball Street- Opd Clinic, Maine Medical Center, Portland, ME 04102 | 2007-04-09 |
| 1487710505 | Allison Mina Freeman Ainsworth | Nurse Practitioner | 11 Harmony Ln, Fort Fairfield, ME 04742-3354 | 2007-01-01 |
| 1720149412 | Dawn M Murphy | Nurse Practitioner | 4 White St, Rockland, ME 04841-2953 | 2006-12-13 |
| 1922192871 | Mary Sloan | Nurse Practitioner | 23 Wells St., North Berwick, ME 03906-5533 | 2006-10-03 |
| 1003917501 | Nancy A Porr | Nurse Practitioner | 4 Horton Place, Suite 101, Topsham, ME 04086 | 2006-09-26 |
| Find all providers with the same taxonomy | ||||
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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.