TRAVIS JOHNSON (NPI# 1982029229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982029229 |
| Entity Type | Individual |
| Full Name | TRAVIS JOHNSON |
| Credential | PA-C |
| Practice Address |
Womack Army Medical Ctr Fort Bragg NC 28310-7301 |
| Practice Telephone | 9109077568 |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers |
| 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 |
| 1881246734 | Travis Johnson | Audiologist-Hearing Aid Fitter | 1122 Veterans Dr Ste 115, Jacksonville, IL 62650-4032 | 2019-07-11 |
| 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 |
| Street Address |
WOMACK ARMY MEDICAL CTR |
| City | FORT BRAGG |
| State | NC |
| Zip Code | 28310-7301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013912757 | Richard Phillip Kirschke | Nurse Anesthetist, Certified Registered | Womack Army Medical Ctr, Fort Bragg, NC 28310-5000 | 2005-06-18 |
| 1366813677 | Darrell Criswell Owens | Physician Assistant | Womack Army Medical Ctr, 2817 Reilly Rd, Fort Bragg, NC 28310-7301 | 2015-10-13 |
| 1275919193 | Jacqueline Reynolds | Nurse Anesthetist, Certified Registered | Womack Army Medical Ctr, Fort Bragg, NC 28310-0001 | 2015-08-03 |
| 1184009201 | Stephanie Martinson | Nurse Anesthetist, Certified Registered | Womack Army Medical Ctr, Department of Anesthesia, Fort Bragg, NC 28310-0001 | 2015-07-30 |
| 1821470451 | Steven Lee Warner | Student in an Organized Health Care Education/Training Program | Womack Army Medical Ctr, 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2015-06-19 |
| 1912310772 | Womack Army Medical Center | Military/U.S. Coast Guard Pharmacy | Womack Army Medical Ctr, Building 4-2817 Reilly Road, Fort Bragg, NC 28310-5000 | 2014-06-09 |
| 1902230949 | Isaac R Thimmesch | Student in an Organized Health Care Education/Training Program | Womack Army Medical Ctr, 2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2013-08-27 |
| 1306270293 | Robert Andrade | Physical Therapist | Womack Army Medical Ctr, 4-2817 Reilly St, Fort Bragg, NC 28310-0001 | 2013-08-27 |
| 1063766129 | Kimberly Nichole Stikeleather | Dietitian, Registered | Womack Army Medical Ctr, Building 4-2817 Reilly Road, Fort Bragg, NC 28310-0001 | 2012-10-28 |
| 1366798563 | William Gary Vincent Farkas | Student in an Organized Health Care Education/Training Program | Womack Army Medical Ctr, 2817 Reilly Road, Family Medicine Residency Clinic, Fort Bragg, NC 28310-0001 | 2012-07-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
| 1417503459 | Cooper Pasque | Dentist | 1838 Normandy Dr., Fort Bragg, Apo, AA 28310 | 2019-08-15 |
| 1851959951 | Daniel Jordan Whitaker | Student in an Organized Health Care Education/Training Program | Womack Army Medical Center, 2817 Reilly Road, Mcxc-cod Credentials, Fort Bragg, NC 28310 | 2019-06-03 |
| 1679054217 | Christopher Cetnar | Dentist | Smokebomb Hill, Bldg 3718 Gruber Road, Fort Bragg, NC 28310 | 2018-08-22 |
| 1316427107 | Alexandrea Lee Clark | Dentist | Laflamme Dental Clinic, Bldg C6238 Ardennes Road, Fort Bragg, NC 28310 | 2018-08-21 |
| 1457843831 | Kevin Patrick Hudson | Student in an Organized Health Care Education/Training Program | 2817 Reilly Road Mxcx - Cod Credentials, Womack Army Medical Center, Fort Bragg, NC 28310 | 2018-06-01 |
| 1639691462 | Margaret S Greene | Dentist | Usa Dental Health Activity Fort Bragg, Wamc Box #151 2817 Rielly Rd, Fort Bragg, NC 28310 | 2017-07-13 |
| 1912432246 | Chezdan Baker | Student in an Organized Health Care Education/Training Program | Us Army Dental Health Activity Bldg-6837 Normandy Drive, Fort Bragg, NC 28310 | 2017-04-24 |
| 1215483094 | Shantryce Monique Boatwright Crump | Dental Hygienist | 2617 Rielly Road, Fort Bragg, NC 28310 | 2016-08-31 |
| 1629435714 | John Gagnier | Physician Assistant | Gruber Road, Building #c-1722, Fort Bragg, NC 28310 | 2016-01-21 |
| Find all providers in zip 28310 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801404496 | Matthew Pace | Physician Assistant | Bldg 5-4257 Bastogne St, Fort Bragg, NC 28303 | 2020-07-20 |
| 1477179869 | Stephen Aaron Reid | Physician Assistant | Robinson Clinic, 1722 Tagatay Dr, Fort Bragg, NC 23807 | 2020-06-22 |
| 1013550763 | Brent Francis Bachman | Physician Assistant | 2817 Reilly Street, Fort Bragg, NC 28310 | 2019-10-25 |
| 1225593411 | Jordan Lamot Houston | Physician Assistant | 1-504 Pir, Fort Bragg, NC 28310-0001 | 2019-02-01 |
| 1720551260 | Henry Elliott White IIi | Physician Assistant | 1-319th Far, Fort Bragg, NC 28310-0001 | 2019-01-08 |
| 1093284465 | Candice Gorremans | Physician Assistant | 108th Air Defense Artillery Brigade, Fort Bragg, NC 28314 | 2018-11-15 |
| 1275016933 | Zarah Pulfrey | Physician Assistant | Womack Medical Center, 2817 Riley Road, Fort Bragg, NC 28217 | 2018-09-10 |
| 1619454980 | Seth David Williams | Physician Assistant | Bldg C-1722 Tagatay Dr, Fort Bragg, NC 28307 | 2018-07-19 |
| 1134633894 | Ashley Andrick | Physician Assistant | 1722 Tagatay Dr, Fort Bragg, NC 28307 | 2017-11-16 |
| 1477005270 | Brittany Lee Howard | Physician Assistant | 2864 Woodruff Street, Fort Bragg, NC 28302 | 2016-10-27 |
| Find all providers in FORT BRAGG | ||||
| City | FORT BRAGG |
| Zip Code | 28310 |
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.