TRAVIS RADCLIFF (NPI# 1518580992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518580992 |
| Entity Type | Individual |
| Full Name | TRAVIS RADCLIFF |
| Practice Address |
4115 Crestwood Cir Winston Salem NC 27107-3788 |
| Practice Telephone | 8506993842 |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2020-05-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WM0705X |
Registered Nurse Specialization: Medical-Surgical |
248905 | NC | Nursing Service Providers |
| Street Address |
4115 CRESTWOOD CIR |
| City | WINSTON SALEM |
| State | NC |
| Zip Code | 27107-3788 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154934727 | Sreto Duric | Physical Therapy Assistant | 3863 Robbins Brook Dr, Winston Salem, NC 27107 | 2020-08-24 |
| 1164936852 | Lindsay Webster | Physician Assistant | 10479 Nc-109, 107a, Winston Salem, NC 27107 | 2017-11-17 |
| 1447592209 | Vinson Psychological Services, Pllc | Psychologist | 4236 Sherlie Weavil Rd, Winston Salem, NC 27107 | 2013-03-20 |
| 1629212501 | Benicia Elaine Cleveland | Specialist/Technologist | 1250 S Martin Luther King Jr. Drive, Winston-salem State University, Winston-salem, NC 27107 | 2009-04-23 |
| 1083714364 | Lia Simpson Erickson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2006-09-25 |
| 1336242973 | North Carolina Cvs Pharmacy LLC | Pharmacy | 10478 N Nc Hwy 109, Wallburg, NC 27107 | 2006-09-07 |
| 1154816312 | Janel Rebecca Durham | Nurse Practitioner | 10479 N Nc Highway 109 Ste 107a, Winston Salem, NC 27107 | 2018-06-28 |
| 1861929523 | Southside United Health Centers | Social Worker | 3009 Waughtown St, Winston Salem, NC 27107 | 2017-05-12 |
| 1407011398 | Ashley Rose Hill | Nurse Practitioner | 648 East Monmouth Street, Winston Salem, NC 27107 | 2008-07-21 |
| 1518157247 | Ellen R. Robinson | Pediatrics | 648 East Monmouth Street, Winston Salem, NC 27107 | 2007-07-30 |
| Find all providers in zip 27107 | ||||
| Taxonomy Code | 163WM0705X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Medical-Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710998281 | Patricia Robertson | Registered Nurse | Piedmont Triad Anesthesia, Pa, 145 Kimel Park Dr., Winston Salem, NC 27103 | 2006-08-10 |
| 1366072365 | Joy Lynn Jessup | Registered Nurse | 3325 Robinhood Rd, Winston Salem, NC 27106-5403 | 2020-01-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306445721 | Janelle Christine Kozeny | Registered Nurse | 1105 1/2 Arendell St, Morehead City, NC 28557-4129 | 2020-10-19 |
| 1881216133 | Antoinette Ford | Registered Nurse | 113 Yorkshire Dr, Salisbury, NC 28144-8534 | 2020-05-09 |
| 1518588409 | Kristin Daniel | Registered Nurse | 865 Hunt Rd, Denton, NC 27239-8858 | 2020-05-01 |
| 1457909285 | Araba Awotwi | Registered Nurse | 1725 Carpenter Fletcher Rd Ste 402, Durham, NC 27713-2271 | 2019-08-26 |
| 1780242412 | Mikhail A Rybin | Registered Nurse | 7502 Malden Park Drive, Charlotte, NC 28215 | 2019-05-29 |
| 1558844340 | Alphonza Faison Jr. | Registered Nurse | 5201 W Market St Ste 108, Greensboro, NC 27409 | 2018-09-08 |
| 1518482710 | Raymond Tanwani Tah | Registered Nurse | 9159 Perseverance Dr, Harrisburg, NC 28075-8388 | 2017-08-08 |
| 1851824114 | Debra Lynn Draper | Registered Nurse | 29330 Nelson Mountain Rd, Albemarle, NC 28001-7520 | 2017-04-04 |
| 1700322401 | Norma Veronica Cyrus | Registered Nurse | 813 Clay Hill Dr, Knightdale, NC 27545-9283 | 2017-01-18 |
| 1942750757 | Brillante Mararac Bayaca | Registered Nurse | 4603 Fonso Dr, Knightdale, NC 27545-6129 | 2016-10-05 |
| Find all providers with the same taxonomy | ||||
| City | WINSTON SALEM |
| Zip Code | 27107 |
Please comment or provide details below to improve the information on TRAVIS RADCLIFF.
| 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.