TRAVIS GREEN (NPI# 1700429925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700429925 |
| Entity Type | Individual |
| Full Name | TRAVIS GREEN |
| Credential | CRNP |
| Practice Address |
3701 Corriere Rd Ste 10 Easton PA 18045-7991 |
| Mailing Address |
1605 N Cedar Crest Blvd Ste 411 Allentown PA 18104-2323 |
| Practice Telephone | 4845917205 |
| Practice Fax Number | 4845917206 |
| Mailing Telephone | 4848844500 |
| Enumeration Date | 2019-10-21 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
SP020896 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689979445 | Travis Lamar Green | Counselor | 3718 Sutor Ct, Tallahassee, FL 32311-4050 | 2011-01-25 |
| 1922248095 | Travis Green | Dentist | 1101 Veterans Drive (160-cdd), Va Medical Center, Lexington, KY 40502 | 2009-03-02 |
| 1336280361 | Travis Green | Specialist/Technologist | 5595 Memorial Ave N, Oak Park Heights, MN 55082-1091 | 2007-02-11 |
| 1285275925 | Travis Lee Green | Physician Assistant | 150 55th St, Brooklyn, NY 11220-2508 | 2019-10-03 |
| 1134693518 | Travis Ray Green | Physician Assistant | 200 Elm St N, Onamia, MN 56359-7901 | 2019-01-18 |
| 1740635119 | Travis Green | Student in an Organized Health Care Education/Training Program | 6410 Fannin St, Suite 420, Houston, TX 77030-3000 | 2016-05-04 |
| 1750710919 | Travis Green | Physician Assistant | 30300 Camino Capistrano, San Juan Capistrano, CA 92675-1304 | 2013-11-07 |
| 1669460796 | Travis C Green | Pathology | 9600 Datapoint Dr, San Antonio, TX 78229-2028 | 2005-10-12 |
| Street Address |
3701 CORRIERE RD STE 10 |
| City | EASTON |
| State | PA |
| Zip Code | 18045-7991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275950008 | Janelle Potts | Counselor | 3701 Corriere Rd Ste 10, Easton, PA 18045-7991 | 2014-03-18 |
| 1184107021 | Daniel Davis | Nurse Practitioner | 3701 Corriere Rd Ste 10, Easton, PA 18045-7991 | 2018-09-06 |
| 1558882779 | Samuel William Wyld | Physician Assistant | 3701 Corriere Rd Ste 10, Easton, PA 18045-7991 | 2017-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528685492 | Shilpa Salpekar | Internal Medicine | St. Lukes Internal Medicine (easton), 400 S Greenwood Ave, Easton, PA 18045 | 2020-06-26 |
| 1194340224 | Alex Grieco | Internal Medicine | 1700 St. Luke's Blvd., Anderson Medical Education Office, Easton, PA 18045 | 2020-06-15 |
| 1609403112 | Jesse Anderson | Social Worker | 1303c Nicholas St, Easton, PA 18045 | 2020-03-25 |
| 1619538865 | Unknown Azima Shaji | Psychiatry & Neurology | St. Luke's University and Health Network- Anderson, Medical Education Office- 1700, St. Luke's Blvd, Easton, PA 18045 | 2019-06-27 |
| 1679131866 | Kamaldeep Sethi | Family Medicine | 1700 St. Luke's Blvd, Medical Education Office, Easton, PA 18045 | 2019-06-03 |
| 1952849606 | Lehigh Valley Physician Group | Family Medicine | 2401 Northampton St, 1st Floor, Easton, PA 18045 | 2017-02-02 |
| 1760854392 | Dental Professionals of Pennsylvania, PC | Dentist | 4727 Freemansburg Ave, Suite 104, Easton, PA 18045 | 2015-10-22 |
| 1114318870 | Shanthi Narla | Student in an Organized Health Care Education/Training Program | St. Luke's Hospital-anderson Campus, Dermatology, Easton, PA 18045 | 2015-02-16 |
| 1891108718 | Danielle Johnson | Obstetrics & Gynecology | 2200 St. Luke's Blvd, Suite 200, Easton, PA 18045 | 2014-06-09 |
| 1023451085 | Matthew S Yoder | Anesthesiology | 3500 Corriere Rd Apt 100, Easton, PA 18045 | 2013-04-09 |
| Find all providers in zip 18045 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356809891 | Jesse Frances Gehman | Nurse Practitioner | 3465 Nazareth Rd Ste 102, Easton, PA 18045-8359 | 2019-03-04 |
| 1740784180 | Melissa Lynn Eigenbrode | Nurse Practitioner | 511 Idlewild Ave Ste B, Easton, MD 21601-3888 | 2018-03-21 |
| 1467974246 | Michelle L Dennis | Nurse Practitioner | 5 Martin Ct, Easton, MD 21601-3833 | 2017-07-12 |
| 1689041733 | Amy Joelle Hoetzel | Nurse Practitioner | 607 Dutchmans Ln, Easton, MD 21601-3345 | 2015-08-25 |
| 1265838932 | Trisha Gill | Nurse Practitioner | 1536 Northampton St, Easton, PA 18042 | 2014-11-07 |
| 1568889095 | Julie Cohen | Nurse Practitioner | 1101 Northampton St, Easton, PA 18042-4152 | 2014-03-21 |
| 1013348473 | Village Health Care LLC | Nurse Practitioner | 373 Houlton Rd, Easton, ME 04740-4337 | 2013-12-10 |
| 1063842359 | Kathryn Heinz | Nurse Practitioner | 3701 Corriere Rd Fl 2, Easton, PA 18045-7991 | 2013-11-22 |
| 1043598444 | Lisette Vazquez | Nurse Practitioner | 8837 Roundhouse Cir, Easton, MD 21601-7903 | 2011-08-02 |
| 1730318320 | Angela R. Buck | Nurse Practitioner | 80 Center Rd, Easton, ME 04740-4337 | 2009-07-06 |
| Find all providers in EASTON | ||||
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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.