TRAVIS JOHNSON (NPI# 1881246734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881246734 |
| Entity Type | Individual |
| Full Name | TRAVIS JOHNSON |
| Practice Address |
1122 Veterans Dr Ste 115 Jacksonville IL 62650-4032 |
| Mailing Address |
6700 Washington Ave S Eden Prairie MN 55344-3405 |
| Practice Telephone | 2172438951 |
| Practice Fax Number | 2176020489 |
| Mailing Telephone | 8003288602 |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 237600000X | Audiologist-Hearing Aid Fitter | Speech, Language and Hearing Service Providers | ||
| Y | 237700000X | Hearing Instrument Specialist | Speech, Language and Hearing Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2347 W Monroe St, Springfield, IL 627041452 | 2177933333 | 2177933515 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912272246 | Travis Johnson | Rehabilitation Practitioner | 3181 Quail Run Rd, Pahrump, NV 89060-3046 | 2012-03-20 |
| 1851617765 | Travis Je Johnson | Chiropractor | 5005 Texas Street Suite 101, San Diego, CA 92108 | 2010-04-16 |
| 1558690347 | Travis Benjamin Johnson | Pharmacist | 100 Fm 646 W, Dickinson, TX 77539 | 2009-12-08 |
| 1023108990 | Travis A Johnson | Chiropractor | 1403 Milnwood Rd, Farmville, VA 23901-2580 | 2006-10-13 |
| 1073133641 | Travis E Johnson | Case Manager/Care Coordinator | 4342 Gallia St, Portsmouth, OH 45662-5562 | 2020-04-23 |
| 1255950291 | Travis Zachary Johnson | Student in an Organized Health Care Education/Training Program | 14350 Meridian Pkwy # 2, Riverside, CA 92518-3035 | 2020-04-09 |
| 1871058487 | Travis Johnson | Chiropractor | 8147 Globe Dr Ste 100, Woodbury, MN 55125-3379 | 2019-02-07 |
| 1538644398 | Travis Johnson | Case Manager/Care Coordinator | 105 Highway 9, Oxford, AR 72565-7201 | 2018-09-27 |
| 1013405778 | Travis Johnson | Student in an Organized Health Care Education/Training Program | 325 N State of Franklin Rd, Johnson City, TN 37604-6056 | 2018-04-27 |
| 1336642156 | Travis Hampton Johnson | Student in an Organized Health Care Education/Training Program | 3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098 | 2018-03-18 |
| Street Address |
1122 VETERANS DR STE 115 |
| City | JACKSONVILLE |
| State | IL |
| Zip Code | 62650-4032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235794330 | Northland Hearing Centers, Inc. | Clinic/Center | 1122 Veterans Dr Ste 115, Jacksonville, IL 62650-4032 | 2019-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134768708 | Stephanie Lee Mabus | Occupational Therapy Assistant | 873 Gorve St, Jacksonville, IL 62650 | 2019-12-31 |
| 1285281071 | Sharshon Pharmacy Inc | Pharmacy | 154 W Morton Ave, Jacksonville, IL 62650 | 2019-08-26 |
| 1992275499 | Brittany Ruth Helmich | Counselor | 340 W. State St., Jacksonville, IL 62650 | 2018-11-28 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1407979818 | Jan Ala | Speech-Language Pathologist | 1111 W Morton, Speechworks, Jacksonville, IL 62650 | 2007-04-09 |
| 1083787592 | Eldon G Barrowes Dds & Assoc PC | Dentist | 1515 West Walnut, Bldg #3, Jacksonville, IL 62650 | 2006-11-15 |
| 1194895979 | Joseph J Kozma | Internal Medicine | 1440 West Walnut, Jacksonville, IL 62650 | 2006-11-08 |
| 1740350529 | Susan Weller | Dentist | 1614 West Lafayette Avenue, Jackson, IL 62650 | 2006-11-08 |
| 1659467793 | Shawn M Fry | Family Medicine | 610 N. Westgate, Jacksonville, IL 62650 | 2006-10-05 |
| 1518050061 | Ward Richard Dunseth II | Nurse Anesthetist, Certified Registered | 1400 W Walnut, Jacksonville, IL 62650 | 2006-10-02 |
| Find all providers in zip 62650 | ||||
| Taxonomy Code | 237700000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Hearing Instrument Specialist |
| Individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063020915 | April Christine Gonzalez | Hearing Instrument Specialist | 1500 Beach Blvd Ste 314, Jacksonville, FL 32250-2621 | 2020-07-16 |
| 1891257242 | Jennifer G Keyes | Hearing Instrument Specialist | 12740 Atlantic Blvd Ste 8, Jacksonville, FL 32225-3199 | 2019-04-04 |
| 1164888723 | Hearing Healthcare Management | Hearing Instrument Specialist | 3792 Henderson Dr, Jacksonville, NC 28546-5236 | 2016-01-12 |
| 1407251762 | Candace Faith Cook | Hearing Instrument Specialist | 765 Jim Blake Rd, Jacksonville, NC 28540-7705 | 2014-10-29 |
| 1811391782 | Rodney E. Overstreet | Hearing Instrument Specialist | 1521 W. Walnut, Jacksonville, IL 62650 | 2014-10-21 |
| 1902206238 | Travis Jones Martin Jr. | Hearing Instrument Specialist | 215 Western Blvd, Suite 300, Jacksonville, NC 28546-5730 | 2014-08-22 |
| 1902184948 | Bradley Cole Kirkpatrick | Hearing Instrument Specialist | 3832 Baymeadows Rd, Ste 7, Jacksonville, FL 32217-5605 | 2011-07-25 |
| 1104113547 | Roberto Cabrera | Hearing Instrument Specialist | 12341 Yellow Bluff Rd Ste 4, Jacksonville, FL 32226-2014 | 2011-07-06 |
| 1174849087 | Jessi N Suminski | Hearing Instrument Specialist | 6014 San Jose Blvd W, Jacksonville, FL 32217-2365 | 2010-04-16 |
| 1346572815 | Ryan Thibeault | Hearing Instrument Specialist | 35 University Blvd North, Jacksonville, FL 32211 | 2010-02-08 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 62650 |
Please comment or provide details below to improve the information on TRAVIS JOHNSON.
| 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.