TRAVIS JEREMY NELSON (NPI# 1386985869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386985869 |
| Entity Type | Individual |
| Full Name | TRAVIS JEREMY NELSON |
| Practice Address |
2345 Southwest Blvd Tulsa OK 74107-2705 |
| Mailing Address |
1910 S Falcon Ave Claremore OK 74019-2237 |
| Practice Telephone | 9185821980 |
| Mailing Telephone | 9185821980 |
| Enumeration Date | 2013-03-08 |
| Last Update Date | 2016-07-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 5603 | OK | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124633532 | Travis M Nelson | Peer Specialist | 1435 Ne 4th St Ste B, Bend, OR 97701-4268 | 2020-09-11 |
| 1487141107 | Travis W. Nelson | Marriage & Family Therapist | 3301 37th Ave, Sacramento, CA 95824-2418 | 2018-04-18 |
| 1467998898 | Travis Nelson | Marriage & Family Therapist | 5638 Professional Cir, Indianapolis, IN 46241-5042 | 2017-01-09 |
| 1619163714 | Travis Nelson | Dentist | 1959 Ne Pacific St, C212, Box 356340, Seattle, WA 98195-0001 | 2007-09-21 |
| 1760689046 | Travis Dee Nelson | Emergency Medicine | 250 W 300 N, Roosevelt, UT 84066-2336 | 2007-06-29 |
| 1821123498 | Travis Charles Nelson | Counselor | 1034 Oak Grove Rd, Concord, CA 94518-3225 | 2007-02-22 |
| 1841395985 | Travis K Nelson | Physician Assistant | 11795 Education St, Suite 110, Auburn, CA 95602-2454 | 2006-09-13 |
| Street Address |
2345 SOUTHWEST BLVD |
| City | TULSA |
| State | OK |
| Zip Code | 74107-2705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164403986 | Lana Dawn Myers | Family Medicine | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2005-11-09 |
| 1164040879 | Osu Center for Health Sciences | Clinic/Center | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2020-07-09 |
| 1962031591 | Dylan Tyler Roberts | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2020-04-06 |
| 1265061733 | Emil Amar Kasmia | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2020-04-06 |
| 1538798178 | Cody Hume Miller | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2020-04-06 |
| 1689203580 | Josiah Thomas Greer | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2020-04-03 |
| 1437788452 | Brandon Edward Rawlinson | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2020-04-02 |
| 1073142022 | Nicole L Abel | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2020-04-02 |
| 1952939183 | Tyler D Ingersoll | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2020-04-01 |
| 1144858358 | Christopher Jason Guinn | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd, Tulsa, OK 74107-2705 | 2020-04-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508493784 | Squareone Compassion Inc | Clinic/Center | 5323 South 65th West Avenue, Tulsa, OK 74107 | 2020-03-26 |
| 1649772476 | Lauren Michele Rogers | Student in an Organized Health Care Education/Training Program | 1111 W. 17th St., Barson 241, Tulsa, OK 74107 | 2018-03-07 |
| 1336641828 | Frank Patrick Goodman | Student in an Organized Health Care Education/Training Program | 2345 Sw Blvd, Tulsa, OK 74107 | 2018-03-01 |
| 1659827269 | Careatc - America Waste | Clinic/Center | 23322 Southwest Blvd, Tulsa, OK 74107 | 2016-09-01 |
| 1538530886 | Jeremy Michael Bowles | Pharmacist | 4227 Southwest Boulevard, Tulsa, OK 74107 | 2015-10-13 |
| 1760725865 | Nicholas Alexander | Student in an Organized Health Care Education/Training Program | 2345 Southwest Blvd., Osu Health Care Center, Tulsa, OK 74107 | 2013-03-27 |
| 1295095321 | Robert Steven Wedding | Counselor | 6033 S. 31 St. West Ave., Tulsa, OK 74107 | 2012-05-23 |
| 1295911451 | American Current Care P.a. | Clinic/Center | 5682 W Skelly Drive, Tulsa, OK 74107 | 2008-01-17 |
| 1821200072 | Leeca Jenkins | Counselor | 2007 W. 57th St, Tulsa, OK 74107 | 2007-05-03 |
| 1477670552 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 5682 W. Skelly Drive, Tulsa, OK 74107 | 2007-03-23 |
| Find all providers in zip 74107 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992347355 | Next Level Primary Care, Pllc | Family Medicine | 8905 E 34th St, Tulsa, OK 74145-3403 | 2019-10-16 |
| 1740751445 | Ernest Kaara Maina | Family Medicine | 3606 M.l.k. Jr Blvd, Tulsa, OK 74106 | 2018-12-07 |
| 1801373659 | Hygiea Healthcare Solutions, Inc. | Family Medicine | 7220 E 41st St, Tulsa, OK 74145-4504 | 2018-07-24 |
| 1760970875 | Antidote Medical Partners LLC | Family Medicine | 9220 S Toledo Ct Ste B, Tulsa, OK 74137-2745 | 2018-04-24 |
| 1417464199 | Tulsa Medical and Orthopedic Center PC | Family Medicine | 8165 S Mingo Rd Ste 200, Tulsa, OK 74133 | 2018-01-04 |
| 1013421023 | Susan C. Willard, Do, Pllc | Family Medicine | 6532 E. 71st Street, Suite 150, Tulsa, OK 74133 | 2017-11-29 |
| 1992224349 | Elite Family Medicine LLC | Family Medicine | 3336 E 32nd St Ste 205, Tulsa, OK 74135-4454 | 2017-09-18 |
| 1881114874 | Care Driven Senior Care, Pllc | Family Medicine | 5821 E 46th St, Tulsa, OK 74135-6830 | 2017-06-21 |
| 1346779816 | Herman Gonzalez | Family Medicine | 1919 S Wheeling Ave, Lower Level, Bernsen Medical Plaza Suite 100, Tulsa, OK 74104-5420 | 2017-06-08 |
| 1003343831 | Robert Capehart | Family Medicine | 1110 E 18th St, Tulsa, OK 74120-7409 | 2017-05-11 |
| Find all providers in TULSA | ||||
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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.