TRAVIS ERICKSON (NPI# 1467927657) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467927657 |
| Entity Type | Individual |
| Full Name | TRAVIS ERICKSON |
| Practice Address |
240 Willow St Tyler MN 56178-1201 |
| Mailing Address |
300 S Bruce St Marshall MN 56258-1934 |
| Practice Telephone | 5072475521 |
| Mailing Telephone | 5072475521 |
| Mailing Fax Number | 5075379053 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
CP001466 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
7183 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 1467927657 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 922 22nd Ave S, Brookings, SD 570062830 | 6056971900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952350431 | Travis Erickson | Family Medicine | 960 Lyle Ridge Cir, Oak Harbor, WA 98277-7642 | 2006-05-10 |
| Street Address |
240 WILLOW ST |
| City | TYLER |
| State | MN |
| Zip Code | 56178-1201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174501159 | Enrico Ocampo | Internal Medicine | 240 Willow St, Tyler, MN 56178-1166 | 2006-01-09 |
| 1003392911 | Gail Beck | Occupational Therapy Assistant | 240 Willow St, Tyler, MN 56178-1201 | 2018-07-13 |
| 1669906053 | Michelle Reynolds | Family Medicine | 240 Willow St, Tyler, MN 56178-1201 | 2017-04-12 |
| 1134563653 | Christopher Stephen Reynolds | Family Medicine | 240 Willow St, Tyler, MN 56178-1201 | 2013-04-26 |
| 1235186230 | Richard L Klingler | Family Medicine | 240 Willow St, Tyler, MN 56178-1166 | 2006-05-27 |
| 1821042920 | Avera Tyler | Skilled Nursing Facility | 240 Willow St, Tyler, MN 56178-1166 | 2006-05-22 |
| 1649223439 | Avera Tyler | Clinic/Center | 240 Willow St, Tyler, MN 56178-0240 | 2006-05-19 |
| 1104870948 | Edward B Novak | Family Medicine | 240 Willow St, Tyler, MN 56178-0240 | 2006-05-19 |
| 1992759674 | Avera Tyler | Home Health | 240 Willow St, Tyler, MN 56178-1166 | 2006-05-19 |
| 1225081474 | Robert William Tatreau | Family Medicine | 240 Willow St, Tyler, MN 56178 | 2006-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689180259 | Align Family Chiropractic LLC | Chiropractor | 117 W Hughes Street, Tyler, MN 56178 | 2017-12-19 |
| 1639235971 | John Rice Utoft | Dentist | 197 North Tyler St, Tyler, MN 56178 | 2006-12-29 |
| 1154415172 | April Rose Hanson | Pharmacist | 240 Willow Street, Tyler, MN 56178 | 2006-10-03 |
| 1285676874 | Koster Pharmacy | Pharmacy | 183 N Tyler St, Tyler, MN 56178 | 2006-06-11 |
| 1104178946 | Candice Lou Vanderplaats | Nurse Practitioner | 240 Willow Street, Tyler, MN 56178 | 2012-10-03 |
| 1184832891 | Tyler Healthcare Center Dba Tyler Healthcare Pharmacy | General Acute Care Hospital | 240 Willow St., Tyler, MN 56178 | 2007-05-18 |
| 1326102237 | Avera Tyler | Medicare Defined Swing Bed Unit | 240 Willow Street, Tyler, MN 56178 | 2006-12-22 |
| 1285687004 | Luann Elizabeth Weber | Physician Assistant | 240 Willow St., Tyler, MN 56178-0240 | 2006-05-19 |
| 1871546606 | Avera Tyler | Hospice Care, Community Based | 240 Willow St., Tyler, MN 56178-0240 | 2006-05-19 |
| 1801840517 | Avera Tyler | General Acute Care Hospital | 240 Willow St., Tyler, MN 56178-0240 | 2006-05-19 |
| Find all providers in zip 56178 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891329728 | Rachel E Fouse | Nurse Practitioner | 323 S Fannin Ave, Tyler, TX 75702-7321 | 2020-02-29 |
| 1942845243 | Nicolette Jane Silverio | Nurse Practitioner | 6116 Wilshire Dr, Tyler, TX 75703-4160 | 2019-11-10 |
| 1679116610 | Tiffiney Mcmakin | Nurse Practitioner | 810 E Houston St # 100, Tyler, TX 75702 | 2019-10-22 |
| 1356996573 | Katy Sutton | Nurse Practitioner | 1901 Belmont Dr, Tyler, TX 75701-4338 | 2019-08-05 |
| 1063067577 | Elnora King | Nurse Practitioner | 1600 Rice Rd Apt 1117, Tyler, TX 75703-3308 | 2019-08-02 |
| 1851959472 | Tx Np Health, Pllc | Nurse Practitioner | 21755 Syrah Ln, Tyler, TX 75703-9274 | 2019-05-29 |
| 1114482569 | Carolyn Johnson | Nurse Practitioner | 13462 Hwy 110 N, Tyler, TX 75704-2444 | 2019-02-08 |
| 1720543556 | Kelsey Danielle Sheeley | Nurse Practitioner | 6770 Old Jacksonville Hwy Ste 103, Tyler, TX 75703-0576 | 2019-02-06 |
| 1790257392 | Tiffany Yvette Gardner | Nurse Practitioner | 301 Fm 757, Tyler, TX 75705-4503 | 2018-12-20 |
| 1174023352 | Jonathan Brice King | Nurse Practitioner | 721 Clinic Dr # A, Tyler, TX 75701-2043 | 2018-02-14 |
| Find all providers in TYLER | ||||
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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.