TRAVIS L SMITH (NPI# 1497222533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497222533 |
| Entity Type | Individual |
| Full Name | TRAVIS L SMITH |
| Practice Address |
220 S Main St Kendallville IN 46755-1718 |
| Practice Telephone | 2603438709 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467931287 | Travis Dean Smith | Contractor | 443 Grover Ln, Jamestown, TN 38556-5568 | 2018-08-13 |
| 1821591314 | Travis Smith | Hearing Instrument Specialist | 1950 Deyerle Ave Ste A, Harrisonburg, VA 22801-5423 | 2018-03-12 |
| 1487104139 | Travis Smith | Specialist/Technologist | 313 S 11th St, Bismarck, ND 58504-5621 | 2016-10-06 |
| 1538599006 | Travis Mark Smith | Social Worker | 1800 W Big Beaver Rd Ste 150, Troy, MI 48084-3535 | 2013-11-20 |
| 1245864958 | Travis Dale Smith | Counselor | 2255 W Northern Ave, Phoenix, AZ 85021-4936 | 2020-03-03 |
| 1477184869 | Travis Charles Smith | Physical Therapy Assistant | 420 Jett Dr, Jackson, KY 41339-9621 | 2020-02-04 |
| 1629544481 | Travis Nathan Smith | Massage Therapist | 216 E Chatham St Ste 110, Cary, NC 27511-3495 | 2018-10-19 |
| 1174015408 | Travis John Smith | Student in an Organized Health Care Education/Training Program | 500 University Dr, Hershey, PA 17033-2360 | 2018-06-01 |
| 1336501675 | Travis Smith | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept. of Neurology, Albany, NY 12208-3412 | 2016-03-25 |
| 1447620372 | Travis Smith | Counselor | 78 Centennial Loop Ste A, Eugene, OR 97401-7900 | 2015-10-05 |
| Street Address |
220 S MAIN ST |
| City | KENDALLVILLE |
| State | IN |
| Zip Code | 46755-1718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910125 | Nancy Luna | Case Manager/Care Coordinator | 220 S Main St, Kendallville, IN 46755-1718 | 2019-03-12 |
| 1558829143 | Leah M Watson | Case Manager/Care Coordinator | 220 S Main St, Kendallville, IN 46755-1718 | 2019-03-04 |
| 1760950869 | Molly Laisure | Case Manager/Care Coordinator | 220 S Main St, Kendallville, IN 46755-1718 | 2018-11-06 |
| 1467929505 | Cassandra Layne Mason | Case Manager/Care Coordinator | 220 S Main St, Kendallville, IN 46755-1718 | 2018-10-26 |
| 1609361062 | Pamela Thornton | Nurse Practitioner | 220 S Main St, Kendallville, IN 46755-1718 | 2018-06-28 |
| 1851609804 | Richard A Yost | Counselor | 220 S Main St, Kendallville, IN 46755-1718 | 2010-09-23 |
| 1962673111 | Dianne Elizabeth Daugherty | Social Worker | 220 S Main St, Kendallville, IN 46755-1718 | 2008-03-17 |
| 1992834311 | Halbert Bayless Miller | Psychiatry & Neurology | 220 S Main St, Kendallville, IN 46755-1718 | 2007-03-02 |
| 1740326669 | Northeastern Center | Non-emergency Medical Transport (VAN) | 220 S Main St, Kendallville, IN 46755-1718 | 2007-01-29 |
| 1770646226 | Northeastern Center | Community/Behavioral Health | 220 S Main St, Kendallville, IN 46755-1718 | 2006-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700292422 | Dawn Levin | Physical Therapist | 1292 Drake Rd, Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1679989495 | Elaine Patterson | Physical Therapist | 1292 Drake Rd., Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1841606563 | Justin Todd Chaple | Physical Therapist | 1292 Drake Road, Parkview Noble Therapy, Kendallville, IN 46755 | 2014-07-02 |
| 1073802997 | Bryan William Smith | Counselor | 1930 Dowling St., Kendallville, IN 46755 | 2011-03-31 |
| 1417101247 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 124 E North St, Kendallville, IN 46755 | 2008-11-06 |
| 1770778367 | Assisted Living Concepts Inc | Assisted Living Facility | 2870 South Lima Road, Kendalville, IN 46755 | 2007-09-07 |
| 1629143805 | Kendallville Chiropractic Center Inc | Chiropractor | 1229 N Lima Rd, Kendallville, IN 46755 | 2006-11-22 |
| 1841307139 | Theodore L Deal Jr. | Dentist | 225 Fairview Blvd, Kendallville, IN 46755 | 2006-08-24 |
| 1467469858 | David Lee Holliday | Chiropractor | 930 West North St., Kendallville, IN 46755 | 2006-08-01 |
| 1699708370 | Vincent J Coda | Podiatrist | 410 E Mitchell St, Kendallville, IN 46755 | 2006-07-08 |
| Find all providers in zip 46755 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910125 | Nancy Luna | Case Manager/Care Coordinator | 220 S Main St, Kendallville, IN 46755-1718 | 2019-03-12 |
| 1558829143 | Leah M Watson | Case Manager/Care Coordinator | 220 S Main St, Kendallville, IN 46755-1718 | 2019-03-04 |
| 1760950869 | Molly Laisure | Case Manager/Care Coordinator | 220 S Main St, Kendallville, IN 46755-1718 | 2018-11-06 |
| 1467929505 | Cassandra Layne Mason | Case Manager/Care Coordinator | 220 S Main St, Kendallville, IN 46755-1718 | 2018-10-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801497441 | Christopher Lynn Maxwell | Case Manager/Care Coordinator | 1305 Cumberland Ave Ste 225, West Lafayette, IN 47906-1343 | 2020-11-02 |
| 1437766086 | Jaron Mathews Ford | Case Manager/Care Coordinator | 2710 Northaven Ct, Fort Wayne, IN 46825-7108 | 2020-09-28 |
| 1245842897 | Sandra D Wilson | Case Manager/Care Coordinator | 5461 Portman Dr, Noblesville, IN 46062-8225 | 2020-08-17 |
| 1992323349 | Sage Evans | Case Manager/Care Coordinator | 833 E Main St, Albion, IN 46701-1302 | 2020-07-13 |
| 1124649371 | Jean Harford | Case Manager/Care Coordinator | 415 N 26th St Ste 102, Lafayette, IN 47904-2855 | 2020-04-29 |
| 1982234191 | Erin Hall | Case Manager/Care Coordinator | 5800 Faifield, Fort Wayne, IN 46807 | 2020-01-16 |
| 1093351884 | Phx Mymed Health Access Solutions | Case Manager/Care Coordinator | 5777 N. Post Road, Indianapolis, IN 46216-2007 | 2019-11-27 |
| 1407409105 | Jeramie Davis | Case Manager/Care Coordinator | 2829 Greenview Way, Indianapolis, IN 46229-1500 | 2019-07-22 |
| 1174087894 | Cross Resource & Consulting LLC | Case Manager/Care Coordinator | 4716 Round Lake Rd Apt H, Indianapolis, IN 46205-2386 | 2019-01-27 |
| 1033688296 | Khulekani Mangozhe | Case Manager/Care Coordinator | 2410 Executive Dr Ste 201, Indianapolis, IN 46241-5000 | 2018-11-17 |
| Find all providers with the same taxonomy | ||||
| City | KENDALLVILLE |
| Zip Code | 46755 |
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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.