MR. TRAVIS RAY WILBURN (NPI# 1770513194) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770513194 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS RAY WILBURN |
| Credential | FNP-C |
| Practice Address |
450 Kenshalo Albany TX 76430 |
| Mailing Address |
P.o. Box 1544 Albany TX 76430-1544 |
| Practice Telephone | 3257623661 |
| Practice Fax Number | 3257623859 |
| Mailing Telephone | 3257623661 |
| Mailing Fax Number | 3257623859 |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2009-12-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
671051 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | BCBS | 0068NA | 01 |
| TX | 159515902 | 05 |
| Street Address |
450 KENSHALO |
| City | ALBANY |
| State | TX |
| Zip Code | 76430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629007281 | Big Country Family Care | Family Medicine | 450 Kenshalo, Albany, TX 76430 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497381164 | Albany Physical Therapy Ltd Co | Physical Therapist | 445 Kenshalo St, Albany, TX 76430 | 2020-03-13 |
| 1134556764 | Phyllis K. Curry L.L.C. | Pharmacy | 104 S. Main St, Albany, TX 76430 | 2013-09-27 |
| 1598960734 | Teresa Janel Naron | Occupational Therapy Assistant | 724 Baird Highway 283, Albany, TX 76430 | 2007-06-18 |
| 1194804278 | Shackelford County Community Resource Center | Clinic/Center | 725 Pate Street, Albany, TX 76430 | 2006-11-02 |
| 1952483307 | Shackelford County Hospital District | Clinic/Center | 432 Kenshalo, Albany, TX 76430 | 2006-10-19 |
| 1750324836 | Ray Neil Gibson | Family Medicine | 450 Kenshalo St, Albany, TX 76430 | 2006-06-14 |
| 1578037586 | Ray Henicke | Pharmacist | 104 S. Main Street, Albany, TX 76430 | 2019-01-14 |
| 1376919977 | Shackelford County Hospital District | Pharmacy | 104 S. Main St, Albany, TX 76430 | 2015-08-18 |
| 1427210897 | Focus Therapies, Pllc | Physical Therapist | 140 Hill Street, Albany, TX 76430 | 2008-06-27 |
| 1538364484 | Tanya Lanay Petree | Physical Therapist | 724 Baird Hwy 283, Albany, TX 76430 | 2007-06-20 |
| Find all providers in zip 76430 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131583 | Mfon Bassey | Nurse Practitioner | 14 N Manning Blvd Apt B-25, Albany, NY 12206-1963 | 2020-10-09 |
| 1245837194 | Thomas W Mansfield | Nurse Practitioner | 425 W 3rd Ave Ste 410, Albany, GA 31701-1954 | 2020-10-05 |
| 1770199408 | April Mccluster | Nurse Practitioner | 2753 Bettys Dr, Albany, GA 31705-9510 | 2020-09-17 |
| 1457967317 | Cynthia Ann Chaney | Nurse Practitioner | 4546 Lacosta Dr, Albany, GA 31721-9433 | 2020-09-16 |
| 1083223135 | Jamila Cruz | Nurse Practitioner | 1758 Philema Rd S, Albany, GA 31701-4781 | 2020-07-24 |
| 1083239313 | Danajoy Melissa Vincent | Nurse Practitioner | 416 Partridge Dr, Albany, GA 31707-3038 | 2020-06-12 |
| 1033744602 | Rodesia Ashanta Woodson | Nurse Practitioner | 2504 Devon Dr, Albany, GA 31721-2128 | 2020-03-04 |
| 1972156057 | Kristen Lynn Cook | Nurse Practitioner | 2601 Stuart Ave Ste 100, Albany, GA 31707-1664 | 2019-07-18 |
| 1255992046 | Jennifer Lieberman | Nurse Practitioner | 1365 Washington Ave Ste 100, Albany, NY 12206-1098 | 2019-06-24 |
| 1053976993 | Amanda Bylsma | Nurse Practitioner | 5 Palisades Dr Ste 200, Albany, NY 12205-6433 | 2019-05-07 |
| Find all providers in ALBANY | ||||
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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.