TRAVIS WICK (NPI# 1558653345) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558653345 |
| Entity Type | Individual |
| Full Name | TRAVIS WICK |
| Practice Address |
3090 N 53rd St Milwaukee WI 53210-1617 |
| Practice Telephone | 4144494444 |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3090 N 53RD ST |
| City | MILWAUKEE |
| State | WI |
| Zip Code | 53210-1617 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578540803 | Eric T Decker | Speech-Language Pathologist | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2005-12-28 |
| 1235776733 | Lakshmi Karri | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-12-03 |
| 1235772237 | Shemika J Green | Counselor | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-22 |
| 1063055192 | Jerome Allen Larson | Peer Specialist | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-22 |
| 1982247011 | Mary Jo Joyce | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-22 |
| 1982246971 | Jamia Bryant | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-11 |
| 1811538358 | Kayla Danielle Stevenson | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-07 |
| 1699316000 | Bianca Johnson | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-07 |
| 1104467752 | Loriann Thomas | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-04 |
| 1336780899 | Avina Richards | Case Manager/Care Coordinator | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2019-10-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700499514 | Mckenzie Lisa Lambeck | Non-emergency Medical Transport (VAN) | 3016a N 36th St, Milwaukee, WI 53210 | 2020-08-31 |
| 1922572312 | Walter's Second Chance of Milwaukee, LLC. | In Home Supportive Care | 3043 N. 29th Street, Milwaukee, WI 53210 | 2019-01-18 |
| 1407353469 | Angie F Caballero | Assisted Living Facility | 5918 N 62nd Street, Milwaukee, WI 53210 | 2018-04-06 |
| 1689182636 | Kimberly Casey | Counselor | 5325 W.burleigh, Milwaukee, WI 53210 | 2018-01-11 |
| 1336663640 | Daron Mosby | Counselor | 2643 N 55th St., 2643 N 55th St., Milwaukee, WI 53210 | 2017-07-28 |
| 1881117174 | Advance Home Care, LLC | In Home Supportive Care | 6001 W Center St Ste 98ll, Milwaukee, WI 53210 | 2017-07-19 |
| 1285181735 | Aurora Family Services | Clinic/Center | 3200 W. Highland Blvd, Aurora Family Services, Milwaukee, WI 53210 | 2016-09-01 |
| 1447625264 | Kimberly Beckham | Registered Nurse | 3040 N 40th Street, Milwaukee, WI 53210 | 2015-12-04 |
| 1033595319 | Wisconsin Lutheran Child & Family Service Inc. | Social Worker | 207 North Sherman Blvd, Milwaukee, WI 53210 | 2015-08-10 |
| 1346633112 | Quiana Davis | Licensed Practical Nurse | 2478 North 34th Street, Milwaukee, WI 53210 | 2015-03-18 |
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| Taxonomy Code | 225400000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Rehabilitation Practitioner |
| A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417342726 | Ari Maxwell Stone | Rehabilitation Practitioner | 3615 N Humboldt Blvd, Apt. 2, Milwaukee, WI 53212-1740 | 2015-04-02 |
| 1932598497 | Katherine Schuller | Rehabilitation Practitioner | 3465 N Oakland Ave, Milwaukee, WI 53211-2824 | 2015-01-21 |
| 1548666498 | Samantha Marie Humphreys | Rehabilitation Practitioner | 3270 N Newhall St, Milwaukee, WI 53211-3042 | 2014-11-04 |
| 1487088316 | Shawn R Thompson | Rehabilitation Practitioner | 2222 S 114th St, Milwaukee, WI 53227-1031 | 2013-08-28 |
| 1750723953 | William Elmer Brylow | Rehabilitation Practitioner | 2222 S 114th St, Milwaukee, WI 53227-1031 | 2013-07-29 |
| 1609168863 | Lauren Michelle Packard | Rehabilitation Practitioner | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2011-05-06 |
| 1497047914 | Katherine Emily Riordan | Rehabilitation Practitioner | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2011-05-03 |
| 1063704591 | Megan Wolf | Rehabilitation Practitioner | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2011-05-03 |
| 1144512567 | Crystal Anne Topp | Rehabilitation Practitioner | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2011-05-03 |
| 1467744995 | Amanda Jean Johnson | Rehabilitation Practitioner | 3090 N 53rd St, Milwaukee, WI 53210-1617 | 2011-05-02 |
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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.