TRAVIS REID EDWARDS (NPI# 1649706185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649706185 |
| Entity Type | Individual |
| Full Name | TRAVIS REID EDWARDS |
| Credential | ATC |
| Practice Address |
1455 Ne Colorado St Pullman WA 99163 |
| Mailing Address |
Po Box 641602 Pullman WA 99164-1602 |
| Practice Telephone | 5093350238 |
| Enumeration Date | 2017-05-03 |
| Last Update Date | 2017-05-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A160584184 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | WASHINGTON STATE DEPARTMENT OF HEALTH, LICENSED ATHLETIC TRAINER | A160584184 | 01 |
| CA | NATIONAL ATHLETIC TRAINERS' ASSOCIATION | 63370 | 01 |
| CA | BOARD OF CERTIFICATION | 200014856 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477781813 | Travis L Edwards | Dentist | 351 W Iowa Ave, Nampa, ID 83686-2856 | 2009-06-24 |
| Street Address |
1455 NE COLORADO ST |
| City | PULLMAN |
| State | WA |
| Zip Code | 99163 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
| 1245715788 | Chirs Sader | Specialist/Technologist | Cougar Way, Bohler Addition, Pullman, WA 99163 | 2018-10-01 |
| 1588158307 | Stefanie Clark | Massage Therapist | 1205 Se Bishop Blvd, Suite #109, Pullman, WA 99163 | 2018-06-15 |
| 1023523859 | Madeleine Degrasse | Specialist/Technologist | 1580 Ne Cougar Way, 265, Coleman, WA 99163 | 2017-12-01 |
| 1720517188 | Chelsea Michelle Luna | Specialist/Technologist | 705 Nw State St, Pullman, WA 99163 | 2017-06-08 |
| 1053775403 | Anna Grindeland | Dietitian, Registered | 555 Se Water St, Pullman, WA 99163 | 2016-04-12 |
| 1487991741 | Yoko Jingi | Specialist/Technologist | 1225 S Grand Ave., Pullman, WA 99163 | 2013-01-07 |
| 1003151572 | Jessie M Armstrong | Speech-Language Pathologist | 1805 Nw Canyonview Drive, Pullman, WA 99163 | 2012-12-10 |
| 1679827877 | Schweitzer Engineering Laboratories | Clinic/Center | 2440 Ne Hopkins Ct., Pullman, WA 99163 | 2012-11-09 |
| 1356575807 | Ashley Rebecca Wilson | Nurse Practitioner | 1525 Se King Drive, Pullman, WA 99163 | 2009-05-13 |
| Find all providers in zip 99163 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265049902 | Erin L Rose | Specialist/Technologist | 510 Nw Larry St, Pullman, WA 99163-3584 | 2020-09-27 |
| 1164039079 | Jalyn Rutledge | Specialist/Technologist | Bohler Athletic Complex Cougar Way - Wsu, Pullman, WA 99164-0001 | 2020-09-24 |
| 1801418504 | Savannah Horning | Specialist/Technologist | Bohler Athletic Complex Room M4, Pullman, WA 99164-0001 | 2020-05-15 |
| 1003445255 | Jennifer Beattie | Specialist/Technologist | 1360 Cougar Way, Pullman, WA 99163 | 2020-04-08 |
| 1922632967 | Carlie Jean Lubbesmeyer | Specialist/Technologist | 1815 Wilson Road, Pullman, WA 99163-9916 | 2020-02-28 |
| 1992359079 | Logan Dean | Specialist/Technologist | 2335 Nw Ridgeline Dr, Pullman, WA 99163-5117 | 2019-07-28 |
| 1467006544 | Kaden Ray Hersel | Specialist/Technologist | 2115 Ne Westwood Dr Apt D, Pullman, WA 99163-5384 | 2019-07-28 |
| 1346894425 | Kristyn Regan Young | Specialist/Technologist | 1405 Ne Merman Dr Apt Sb322, Pullman, WA 99163-5059 | 2019-07-28 |
| 1285288365 | Hailey Belle Chufar | Specialist/Technologist | 910 Ne Providence Ct Apt H202, Pullman, WA 99163-4655 | 2019-07-28 |
| 1801440987 | John Burton | Specialist/Technologist | 1880 Ne Terre View Dr Unit E318, Pullman, WA 99163-5909 | 2019-07-28 |
| Find all providers in PULLMAN | ||||
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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.