TANJENIQUE R TRAVIS
NPI 1104631480
Licensed Practical Nurse in Cleveland, OH

Q: What is Tanjenique Travis's NPI number?

The NPI number for Tanjenique Travis is 1104631480. It was assigned to this individual provider in the NPPES registry on February 12, 2025.

Q: What is Tanjenique Travis's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Tanjenique Travis was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since February 12, 2025

4609 E 173RD ST, CLEVELAND, OH 44128(216) 533-4811 Get Directions Write a Review

NPPES record last updated: February 18, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2025, Feb 12, 2025 (2 updates tracked since 2025).

On this page

About Tanjenique R Travis NPPES

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

TANJENIQUE R TRAVIS (NPI 1104631480) is an individual licensed practical nurse in Cleveland, Ohio, licensed in Ohio (191727) and active in the NPI registry since February 2025.

NPPES Registry Identity

NPI1104631480

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameTANJENIQUE R TRAVIS

Location Address4609 E 173RD STCleveland, OH 44128-3903

Mailing Address4609 E 173rd StCleveland, OH 44128-3903 · (216) 533-4811

Phone(216) 533-4811

Sole ProprietorYes

Enumeration DateFebruary 12, 2025

Last NPPES UpdateFebruary 18, 20252 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2025

✔ NPI 1104631480 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 OH · 191727

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.

4609 E 173RD ST, Cleveland, OH 44128

Open in Google Maps ↗

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 Tanjenique Travis's NPI number?

The NPI number for Tanjenique Travis is 1104631480. It was assigned to this individual provider in the NPPES registry on February 12, 2025.

Where is Tanjenique Travis located?

Tanjenique Travis practices at 4609 E 173rd St, Cleveland, OH 44128. The listed phone number is (216) 533-4811.

What is Tanjenique 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 Tanjenique Travis was last updated on February 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.