TRAVIS MEDRANO WALKER (NPI# 1699322917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699322917 |
| Entity Type | Individual |
| Full Name | TRAVIS MEDRANO WALKER |
| Credential | LPC |
| Practice Address |
720 Chute Canyon Way Bonners Ferry ID 83805-5220 |
| Practice Telephone | 7032011169 |
| Mailing Telephone | 7032011169 |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-10-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | LPC-7299 | ID | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LPC-7299 | ID | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
LPC-7299 | ID | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-7299 | ID | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609237353 | Travis Walker | Counselor | 4141 E Dickenson Place, Denver, CO 80222 | 2016-03-09 |
| 1831797596 | Travis Walker | Behavior Technician | 555 Marriott Dr Fl 3, Nashville, TN 37214-5020 | 2020-10-14 |
| 1316583834 | Travis Walker | Case Manager/Care Coordinator | 2820 Linda Ln, Del City, OK 73115-5012 | 2019-11-19 |
| 1750806204 | Travis Walker | Nurse Practitioner | 8956 162nd St, Jamaica, NY 11432-5072 | 2017-08-06 |
| 1003362880 | Travis Walker | Emergency Medical Technician, Intermediate | 1025 Hospital Road, Schurz, NV 89427 | 2016-08-31 |
| 1861802282 | Travis Carl Walker | Emergency Medicine | 1001 S George St, York, PA 17403-3676 | 2014-05-07 |
| 1174940092 | Travis Craig Walker | Family Medicine | 910 Vista Blvd, Sparks, NV 89434 | 2014-03-28 |
| 1992015085 | Travis Michael Walker | Military Health Care Provider | 1st Marine Special Operations Battalion, Medical Department, Camp Pendleton, CA 92055-5341 | 2010-10-07 |
| 1982830014 | Travis D Walker | Otolaryngology | 1102 W 32nd St, Joplin, MO 64804-3503 | 2009-06-03 |
| 1376704668 | Travis Aaron Walker | Pediatrics | 501 6th Ave S, St Petersburg, FL 33701-4634 | 2008-06-19 |
| Street Address |
720 CHUTE CANYON WAY |
| City | BONNERS FERRY |
| State | ID |
| Zip Code | 83805-5220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366990996 | Nicole Diana Madill | Counselor | 687 Cody Street, Bonners Ferry, ID 83805 | 2016-09-12 |
| 1154770295 | Rachel Meiland Webster | Social Worker | 6686 Augusta Bldg 100, Bonners Ferry, ID 83805 | 2016-06-09 |
| 1205211786 | Robert Rossi | Social Worker | Kaniksu Health Services, 6615 Comanche St, Bonners Ferry, ID 83805 | 2015-07-24 |
| 1154660041 | Mark R. Barker, O.d.p.c. | Optometrist | 7177 Main St., Bonners Ferry, ID 83805 | 2013-02-12 |
| 1003182668 | Jessica Faye Horricks | Dentist | 6615 Commanche, Bonners Ferry, ID 83805 | 2012-03-28 |
| 1427334929 | Tanya Marie Allmaras | Physician Assistant | 6635 Comanche Street, Bonners Ferry, ID 83805 | 2011-10-27 |
| 1114259769 | Joshua Olen Shelton | Chiropractor | 6389 Bonner St., Bonners Ferry, ID 83805 | 2010-02-08 |
| 1558690644 | April C Christman | Social Worker | 6615 Comanche Street, Bonners Ferry, ID 83805 | 2009-12-18 |
| 1407006067 | Denys Taipale-knight | Counselor | 385 Moose Ridge Lane, Bonners Ferry, ID 83805 | 2008-09-19 |
| 1013126457 | John Pierce Brownlee Jr. | Registered Nurse | 6640 Kaniksu Street, Boundary Community Hospital, Bonners Ferry, ID 83805 | 2007-05-22 |
| Find all providers in zip 83805 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528472321 | John Patrick Schrom | Counselor | 222 Nighthawk Rd, Bonners Ferry, ID 83805-5441 | 2014-06-19 |
| 1316024748 | Mona Kim-brown | Counselor | 6615 Comanche St, Bonners Ferry, ID 83805 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648015 | Abigail Oakley | Counselor | Tueller Counseling Services, 2275 W Broadway Suite G, Idaho Falls, ID 83402 | 2020-10-30 |
| 1679172472 | Dynisha Smith | Counselor | 9277 W Shoup Ave, Boise, ID 83709-0557 | 2020-10-22 |
| 1710592142 | Bruce F. Pagano II | Counselor | 1217 3rd St S Ste 103, Nampa, ID 83651-3917 | 2020-09-11 |
| 1881208056 | Cameron Cushing | Counselor | 3293 E Plympton Dr, Meridian, ID 83642-9019 | 2020-09-03 |
| 1689285892 | Jacob Santhouse | Counselor | 824 17th Ave S Ste 7, Nampa, ID 83651-4781 | 2020-08-11 |
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1669081311 | Catherine Leavitt | Counselor | 921 S 8th Ave # 8136, Pocatello, ID 83209-0002 | 2020-07-29 |
| 1295353217 | Cultivation, LLC | Counselor | 211 E. Coeur Dalene Ave. Ste 102, Coeur D'alene, ID 83814 | 2020-07-07 |
| 1013535145 | Revitalize Consulting Group, Inc. | Counselor | 202 S Midland Blvd, Nampa, ID 83686-2602 | 2020-07-06 |
| 1427670314 | Richard Meyers | Counselor | 2052 Jennie Lee Dr Ste 2, Idaho Falls, ID 83404-7056 | 2020-05-13 |
| Find all providers with the same taxonomy | ||||
| City | BONNERS FERRY |
| Zip Code | 83805 |
Please comment or provide details below to improve the information on TRAVIS MEDRANO WALKER.
| 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.