JOHNETTA TRAVIS (NPI# 1023311297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023311297 |
Entity Type | Individual |
Full Name | JOHNETTA TRAVIS |
Credential | RN |
Practice Address |
950 Laney Walker Blvd Augusta GA 30901-2960 |
Mailing Address |
3407 Danvers Ave Augusta GA 30906-5172 |
Practice Telephone | 7067215900 |
Enumeration Date | 2010-12-10 |
Last Update Date | 2010-12-10 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WW0101X |
Registered Nurse Specialization: Women's Health Care, Ambulatory |
RN14321 | GA | Nursing Service Providers |
Street Address |
950 LANEY WALKER BLVD |
City | AUGUSTA |
State | GA |
Zip Code | 30901-2960 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225089824 | Richmond County Board of Health | Public Health or Welfare | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2006-05-16 |
1508407438 | Stephanie Nicole Stallings | Nurse Practitioner | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2019-10-02 |
1578117321 | Tracey Lichelle Horne | Nurse Practitioner | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2019-07-30 |
1114311297 | Shalonna Stewart | Nurse Practitioner | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2015-03-26 |
1235550369 | Louise Larosa | Registered Nurse | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2013-12-16 |
1629311725 | Whitney Leigh Stallings | Registered Nurse | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2013-03-27 |
1447540711 | Jennifer Albritton Sapp | Nurse Practitioner | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2011-04-07 |
1790081198 | Sharon Lynn Kendrick | Registered Nurse | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2011-02-02 |
1598068637 | Rebecca Youngblood Kershner | Registered Nurse | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2010-12-13 |
1396058863 | Carol Poole Bryant | Registered Nurse | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2010-07-26 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
Find all providers in zip 30901 |
Taxonomy Code | 163WW0101X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Women's Health Care, Ambulatory |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427366590 | Secure Care Augusta, LLC | Registered Nurse | 1520 Monte Sano Ave, Augusta, GA 30904-7808 | 2010-09-22 |
1881777068 | Llewelyn A Lewis | Registered Nurse | 1916 North Leg Road, Augusta, GA 30909 | 2006-10-23 |
1235550369 | Louise Larosa | Registered Nurse | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2013-12-16 |
1790081198 | Sharon Lynn Kendrick | Registered Nurse | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2011-02-02 |
1598068637 | Rebecca Youngblood Kershner | Registered Nurse | 950 Laney Walker Blvd, Augusta, GA 30901-2960 | 2010-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053938720 | Veda N Langford | Registered Nurse | 4117 Lehigh Blvd, Decatur, GA 30034-6036 | 2020-06-29 |
1780041640 | Diane Robillard | Registered Nurse | 3521 Granite Way, Martinez, GA 30907-8969 | 2016-01-24 |
1275915589 | Jennifer Lee Mckinney | Registered Nurse | 2270 Spear Point Trl, Marietta, GA 30062-2548 | 2015-06-23 |
1295141307 | Lara Stephens | Registered Nurse | 3405 Dallas Hwy Sw Ste 505, Marietta, GA 30064-6427 | 2014-07-09 |
1558526202 | Marilyn Teresa Ringstaff | Registered Nurse | 1513 Dean St., Rome, GA 30161 | 2008-07-22 |
1851555791 | Sharon Delores Baker | Registered Nurse | 2 Downing St Se, Rome, GA 30161-8023 | 2008-07-10 |
1013191626 | Margie Mizell James | Registered Nurse | 57 Holly Oak Trl, Waverly, GA 31565-2504 | 2007-12-19 |
1881813210 | Christine Elizabeth Van Looy | Registered Nurse | 1020 Martin Ridge Rd, Roswell, GA 30076-2854 | 2007-04-24 |
1710047873 | Susan G. Dudley | Registered Nurse | 178 Carrigan Cir, Ringgold, GA 30736-6769 | 2006-12-11 |
1104848498 | Deloris Ann Hefner | Registered Nurse | 218 N Fredrick St, Dalton, GA 30721-3242 | 2006-07-24 |
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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.