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KRISTA ROSE TRAVIS LPN
NPI 1063624039
Licensed Practical Nurse in Lyndonville, NY

Active since May 04, 2007
1554 MURDOCK RD, LYNDONVILLE, NY 14098(585) 765-3955 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Krista Rose Travis Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTA ROSE TRAVIS LPN (NPI 1063624039) is an individual licensed practical nurse in Lyndonville, New York, licensed in New York (276679-1) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1063624039
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameKRISTA ROSE TRAVISCredential: LPN
Location Address1554 MURDOCK RDLyndonville, NY 14098-9731
Mailing Address1554 Murdock RdLyndonville, NY 14098-9731 · (585) 765-3955
Phone(585) 765-3955
Sole ProprietorYes
Enumeration DateMay 4, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063624039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 276679-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1554 MURDOCK RD, Lyndonville, NY 14098
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Other Identifiers 1

Medicaid02570285NY

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krista Travis's NPI number?

The NPI number for Krista Travis is 1063624039. It was assigned to this individual provider in the NPPES registry on May 4, 2007.

Where is Krista Travis located?

Krista Travis practices at 1554 Murdock Rd, Lyndonville, NY 14098. The listed phone number is (585) 765-3955.

What is Krista Travis's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Krista Travis was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.