MR. WILLIAM TRAVIS EDWARDS (NPI# 1477780757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477780757 |
| Entity Type | Individual |
| Full Name | MR. WILLIAM TRAVIS EDWARDS |
| Practice Address |
2122 Circle Dr Columbia TN 38401-4430 |
| Mailing Address |
305 Malibu Canyon Dr Columbia TN 38401-6802 |
| Practice Telephone | 9314901480 |
| Mailing Telephone | 8105136248 |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2009-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235646993 | William Randolph Jo Edwards | Chiropractor | 8267 E Merryweather Ln, Anaheim, CA 92808-2317 | 2018-01-03 |
| 1912392606 | William Seth Edwards | Pharmacist | 1601 Trilliam Ln, Clanton, AL 35045-8758 | 2015-03-31 |
| 1699015933 | William G Edwards | Registered Nurse | 228 Cambon Ave, Saint James, NY 11780-3048 | 2013-02-24 |
| 1700169570 | William Alexander Edwards | Student in an Organized Health Care Education/Training Program | 1440 Golden Gate Ave, Apt 304, San Francisco, CA 94115-4660 | 2011-09-27 |
| 1124309927 | William Vendel Edwards | Pharmacist | 3233 Martin Luther King Jr Blvd, Anderson, SC 29625-1714 | 2011-09-07 |
| 1194969261 | William H Edwards | Behavioral Analyst | 6301 Campus Circle Dr E, Suite 100a, Irving, TX 75063-2712 | 2009-04-20 |
| 1356513758 | William Bert Edwards | Nurse Anesthetist, Certified Registered | 553 S Egan Ave, Burns, OR 97720-2252 | 2008-03-26 |
| 1083885321 | William Masters Edwards II | Social Worker | 120 W Pennsylvania Ave, 43, Southern Pines, NC 28387-5429 | 2008-03-14 |
| 1346314762 | William Bryan Edwards | Counselor | 104 1st St Nw, Dodge Center, MN 55927-9195 | 2006-11-17 |
| 1629161856 | William Edwards | Pediatrics | 435 Maxine Drive, Suites 3 & 4, Morton, IL 61550 | 2006-10-02 |
| Street Address |
2122 CIRCLE DR |
| City | COLUMBIA |
| State | TN |
| Zip Code | 38401-4430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891853339 | Clara Leach Darden | Respite Care | 2122 Circle Dr, Columbia, TN 38401-4430 | 2006-12-05 |
| 1861014938 | Regan Moore Bernardoni | Community Based Residential Treatment Facility, Mental Illness | 2122 Circle Dr, Columbia, TN 38401-4430 | 2020-05-12 |
| 1407477664 | Rosanna Candace Duke | Community Based Residential Treatment Facility, Mental Illness | 2122 Circle Dr, Columbia, TN 38401-4430 | 2020-04-29 |
| 1265911770 | Cathy Darlene Hatch | Technician | 2122 Circle Dr, Columbia, TN 38401-4430 | 2018-08-07 |
| 1215434782 | Reagan Kilpatrick | Counselor | 2122 Circle Dr, Columbia, TN 38401-4430 | 2018-04-10 |
| 1194234682 | Karol Ann Cathey | Technician | 2122 Circle Dr, Columbia, TN 38401 | 2017-09-27 |
| 1487196341 | Cathrine Traci Marie Benmouha | Counselor | 2122 Circle Dr, Columbia, TN 38401-4430 | 2016-11-09 |
| 1528500600 | Meaghan Nicole Bates | Counselor | 2122 Circle Dr, Columbia, TN 38401-4430 | 2016-11-07 |
| 1538516406 | Tyler Gregory Bartz | Counselor | 2122 Circle Dr, Columbia, TN 38401-4430 | 2016-05-19 |
| 1952709610 | Matthew Little | Counselor | 2122 Circle Dr, Columbia, TN 38401-4430 | 2014-12-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093327629 | Andrew Swensen | Pharmacist | 1202 South James Campbell Blvd, Columbia, TN 38401 | 2020-08-17 |
| 1790305522 | Milaya L Webster | Community Based Residential Treatment Facility, Mental Illness | 809 South Water Streer, Columbia, TN 38401 | 2020-04-22 |
| 1730729468 | Dania Cortez | Licensed Practical Nurse | 40 Park Plus Court, Columbia, TN 38401 | 2020-01-10 |
| 1619519683 | Agilitas Usa, Inc | Clinic/Center | 627 S. James Campbell Blvd., Suite B, Columbia, TN 38401 | 2019-10-11 |
| 1710531280 | Abby Graves | Dietitian, Registered | 1216 Trottwood Ave, Columbia, TN 38401 | 2019-08-01 |
| 1942771746 | James Brian Gregory | Marriage & Family Therapist | 497 E James Campbell Blvd, Columbia, TN 38401 | 2018-12-06 |
| 1104312255 | Sarah Miller | Social Worker | 230 E James Campbell Boulevard, Suite 113, Columbia, TN 38401 | 2018-07-02 |
| 1407343148 | Tammy Lynn James | Nurse Practitioner | 6011 Trotwood Ave Ste D, Columbia, TN 38401 | 2018-04-18 |
| 1053838276 | Tiffany Huskey | Audiologist-Hearing Aid Fitter | 1202 S James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-28 |
| 1942726963 | Northland Hearing Center, Inc. | Hearing Aid Equipment | 1202 South James Campbell Blvd, Suite 15, Columbia, TN 38401 | 2017-08-22 |
| Find all providers in zip 38401 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598234114 | Spectrum Care Academy Bluegrass 2 | Psychiatric Residential Treatment Facility | 1175 Cane Valley Rd., Columbia, KY 42728 | 2018-11-14 |
| 1689883381 | Spectrum Care Academy, Inc. | Psychiatric Residential Treatment Facility | 4500 Campbellsville Rd, Columbia, KY 42728-9314 | 2007-05-21 |
| 1720527179 | Kansas City Vamc | Psychiatric Residential Treatment Facility | 800 Hospital Dr, Columbia, MO 65201-5275 | 2017-02-17 |
| 1477727824 | Centerstone | Psychiatric Residential Treatment Facility | 418 W 7th St, Columbia, TN 38401-3135 | 2008-04-16 |
| 1811107436 | Spectrum Care Academy, Inc. | Psychiatric Residential Treatment Facility | 4500 Campbellsville Rd, Columbia, KY 42728-9314 | 2007-05-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645674 | Change Academy At Lake of The Ozarks | Psychiatric Residential Treatment Facility | 5842 Highway 30, Benton, TN 37307-4734 | 2020-09-29 |
| 1053966747 | Youth Villages, Inc | Psychiatric Residential Treatment Facility | 7428 Memphis-arlington Rd, Memphis, TN 38135-3813 | 2019-08-08 |
| 1679127971 | Youth Villages, Inc. | Psychiatric Residential Treatment Facility | 7386 Memphis Arlington Rd, Memphis, TN 38135-1908 | 2019-07-25 |
| 1396215810 | Hanbleceya Nashville, LLC | Psychiatric Residential Treatment Facility | 300 35th Ave N, Nashville, TN 37209-3921 | 2018-11-27 |
| 1700332145 | Keysgroupholdings LLC | Psychiatric Residential Treatment Facility | 110 Westwood Pl, Suite 100, Brentwood, TN 37027-5075 | 2016-08-26 |
| 1144672411 | Woodridge Behavioral Care, LLC | Psychiatric Residential Treatment Facility | 162 Cude Ln, Madison, TN 37115-2202 | 2016-07-11 |
| 1144689001 | Onsite Partners, Inc. | Psychiatric Residential Treatment Facility | 1044 Old Highway 48 N, Cumberland Furnace, TN 37051-5000 | 2016-02-19 |
| 1811389158 | Ko Pest Control | Psychiatric Residential Treatment Facility | 3575 Hwy 138, Toone, TN 38381 | 2015-02-24 |
| 1124463849 | Frontier Health | Psychiatric Residential Treatment Facility | 210 Quary Rd, Johnson City, TN 37601-7580 | 2013-05-08 |
| 1063796431 | The Link Center, Inc. | Psychiatric Residential Treatment Facility | 6978 Lebanon Rd Ste F, Mount Juliet, TN 37122-7201 | 2011-10-04 |
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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.