MRS. JENNIFER JOHNNAE TRAVIS (NPI# 1770008757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770008757 |
| Entity Type | Individual |
| Full Name | MRS. JENNIFER JOHNNAE TRAVIS |
| Practice Address |
2421 Tech Center Ct Las Vegas NV 89128-0804 |
| Practice Telephone | 7025601898 |
| Practice Fax Number | 7029741521 |
| Mailing Telephone | 7025601898 |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2017-08-10 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
NV | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326517764 | Jennifer Lyn Travis | Psychologist | 59 Myrtle Ave, Mahopac, NY 10541-4640 | 2018-11-14 |
| 1639536907 | Jennifer Marie Travis | Registered Nurse | 12018 Clear Lake South Rd E, Eatonville, WA 98328-8300 | 2016-01-18 |
| 1154755692 | Jennifer Marie Travis | Nurse Practitioner | 2301 E Evesham Rd Ste 122, Voorhees, NJ 08043-4509 | 2013-09-01 |
| 1225688336 | Jennifer G Travis | Nurse Practitioner | 1211 Medical Center Dr, Nashville, TN 37232-0004 | 2019-09-19 |
| 1336614502 | Jennifer L Travis | Social Worker | 331 Se 2nd St, Pendleton, OR 97801-2224 | 2018-10-03 |
| 1225567746 | Jennifer Travis | Speech-Language Pathologist | 215 Dunbar Cave Rd Ste A, Clarksville, TN 37043-8850 | 2017-06-08 |
| 1730439043 | Jennifer L Travis | Registered Nurse | 4531 Se Belmont St, Ste 100, Portland, OR 97215-1675 | 2012-09-13 |
| 1992087076 | Jennifer Travis | Counselor | 300 Howard St, Framingham, MA 01702-8313 | 2011-09-14 |
| 1134330475 | Jennifer Lynne Travis | Optometrist | 3625 Dallas Hwy Sw, Suite 660, Marietta, GA 30064-5912 | 2007-05-25 |
| Street Address |
2421 TECH CENTER CT |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128-0804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780611673 | Denise Tropea | Podiatrist | 2421 Tech Center Ct, Ste 108, Las Vegas, NV 89128 | 2006-06-27 |
| 1053867135 | Jmc Community Services, LLC | Case Management | 2421 Tech Center Ct, Ste 108, Las Vegas, NV 89128-0804 | 2016-08-29 |
| 1437499449 | Donald Wayne Johnson Jr. | Behavioral Analyst | 2421 Tech Center Ct, Ste 108, Las Vegas, NV 89128-0804 | 2013-02-27 |
| 1689908188 | Denise Tropea Dpm, Inc | Podiatrist | 2421 Tech Center Ct, Suite 108, Las Vegas, NV 89128-0804 | 2009-09-30 |
| 1578589743 | Nadine Leone | Marriage & Family Therapist | 2421 Tech Center Ct, Suite 100, Las Vegas, NV 89128-0804 | 2006-07-14 |
| 1770515967 | Christine Caron Clark | Podiatrist | 2421 Tech Center Ct, #108, Las Vegas, NV 89128 | 2006-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 103TB0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Cognitive & Behavioral |
| Definition to come... |
| Notes: [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265078273 | Horizon Ridge Clinic LLC | Psychologist | 3150 W Sahara Ave, Suite B21, Las Vegas, NV 89102-6002 | 2019-11-25 |
| 1063053882 | Brighter Life of Nevada LLC | Psychologist | 2915 W Charleston Blvd Ste 190, Las Vegas, NV 89102-1978 | 2019-10-02 |
| 1386103257 | Trinity Behavioral Center | Psychologist | 4079 N Rancho Dr Ste 160, Las Vegas, NV 89130-3465 | 2019-03-19 |
| 1922570985 | Heather Lynn Hannah | Psychologist | 304 S Jones Blvd Ste 991, Las Vegas, NV 89107-2623 | 2018-12-31 |
| 1891289039 | Faye Fulton | Psychologist | 2821 Glen Aulin St, Las Vegas, NV 89108-4074 | 2018-06-20 |
| 1700332467 | Hearley Smith | Psychologist | 5455 S. Fort Apache Rd, 108, Las Vegas, NV 89148 | 2016-08-31 |
| 1083026058 | Nadine Vivarelli | Psychologist | 2655 S Raibow Blvd, #407, Las Vegas, NV 89146-5100 | 2014-05-27 |
| 1669800538 | Kiana W Allen | Psychologist | 7853 Treasure Ship Ave, Las Vegas, NV 89147-6237 | 2013-10-31 |
| 1407292865 | Johnny Hogan | Psychologist | 5264 Lookout St, Las Vegas, NV 89120-1249 | 2013-05-13 |
| 1275878951 | Shelia Bernerdette Thompson | Psychologist | 3077 E Warm Springs Rd Ste 300, Las Vegas, NV 89120-3752 | 2012-12-06 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on MRS. JENNIFER JOHNNAE TRAVIS.
| 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.