MR. TRAVIS ARMOND DAMICO (NPI# 1629266366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629266366 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS ARMOND DAMICO |
| Credential | MN, ARNP |
| Practice Address |
5002 Kitsap Way Ste 200 Bremerton WA 98312-2359 |
| Mailing Address |
530 Melrose Ave E Apt 401 Seattle WA 98102-4721 |
| Practice Telephone | 3607821700 |
| Mailing Telephone | 2063255003 |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2007-10-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP30007865 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
5002 KITSAP WAY STE 200 |
| City | BREMERTON |
| State | WA |
| Zip Code | 98312-2359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962025114 | Candace Mckenzie | Counselor | 2564 Cascades Pass Blvd, The Landings Bldg. 779, Bremerton, WA 98312 | 2020-05-22 |
| 1710473590 | Sandra Louise Walker | Family Medicine | 14301 Nw Coho Run, Bremerton, WA 98312 | 2018-07-05 |
| 1467947663 | Jason David Alexander | Military Health Care Provider | Uss Kentucky, Ssbn, Fpo, AE 98312 | 2018-06-29 |
| 1588176614 | Institute Family for Development | Community/Behavioral Health | 5610 Kitsap Way, Suite 315, Bremerton, WA 98312 | 2017-10-30 |
| 1720521321 | Debra Lynn Lemieux | Counselor | 5762 Chico Way Nw, Bremerton, WA 98312 | 2016-11-30 |
| 1164840047 | Amber Rose Morison | Chiropractor | 3963 Sand Dollar Road West, Bremerton, WA 98312 | 2014-03-28 |
| 1942625611 | Kristen Williams | Clinic/Center | 5112 Nw Taylor Rd., Bremerton, WA 98312 | 2014-03-04 |
| 1184049629 | Tariku Tsegaye Messele | Specialist/Technologist | 5112 Nw Taylor Road, Bremerton, WA 98312 | 2014-02-20 |
| 1063784064 | Johnson Chiropractic Clinic | Clinic/Center | 3721 Kitsap Way Suite #8, Bremerton, WA 98312 | 2012-02-06 |
| 1194013532 | Casey Mccann | Student in an Organized Health Care Education/Training Program | 1 Boone Rd., Naval Hospital Bremerton, Bremerton, WA 98312 | 2011-07-19 |
| Find all providers in zip 98312 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912386459 | Shannon Paris | Nurse Practitioner | 1945 Trenton Ave, Bremerton, WA 98310-5047 | 2015-05-28 |
| 1427474790 | Northwest Psychiatry Inc Ps | Nurse Practitioner | 2528 Wheaton Way Ste 204, Bremerton, WA 98310-3305 | 2014-03-11 |
| 1487936241 | Karen S Casseday | Nurse Practitioner | 1740 Ne Riddell Rd Ste 110, Bremerton, WA 98310 | 2011-09-16 |
| 1578670303 | Donna L Poole | Nurse Practitioner | 5455 Almira Dr Se, Bremerton, WA 98311-8330 | 2006-08-25 |
| 1396211413 | Erin Mcmanus | Nurse Practitioner | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2018-10-16 |
| 1376972737 | Stanford Call | Nurse Practitioner | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2013-11-06 |
| 1851733729 | Lisa Pratt | Nurse Practitioner | 5455 Almira Dr Ne, Bremerton, WA 98311-8330 | 2013-07-22 |
| 1144544867 | Sharon Penny Lynne Ishihara | Nurse Practitioner | 2508 Wheaton Way, Bremerton, WA 98310-3303 | 2010-03-24 |
| 1073610325 | Jolene M. Culbertson | Nurse Practitioner | 2520 Cherry Ave, Bremerton, WA 98310-4229 | 2006-09-20 |
| 1720199839 | Michael Ben Jackson | Nurse Practitioner | 925 Adele Ave, Bremerton, WA 98312-3521 | 2006-08-31 |
| Find all providers in BREMERTON | ||||
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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.