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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

BLAKE TRAVERS
NPI 1629998232
Student in an Organized Health Care Education/Training Program in Jackson, TN

Active since July 16, 2026
1050 UNION UNIVERSITY DR, JACKSON, TN 38305(270) 508-0552 Get Directions Write a Review

NPPES record added: July 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Blake Travers NPPES

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

BLAKE TRAVERS (NPI 1629998232) is an individual student in an organized health care education/training program in Jackson, Tennessee, licensed in Kentucky (I17135) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1629998232
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameBLAKE TRAVERS
Location Address1050 UNION UNIVERSITY DRJackson, TN 38305-3697
Mailing Address1027 Us Highway 60 WSmithland, KY 42081-8942
Phone(270) 508-0552
Sole ProprietorNo
Enumeration DateJuly 16, 2026
NPPES CertifiedJuly 16, 2026
✔ NPI 1629998232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in KY · I17135
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1050 UNION UNIVERSITY DR, Jackson, TN 38305
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDER ADEN ATC
Specialist/Technologist (Athletic Trainer)
1050 UNION UNIVERSITY DR
JACKSON, TN 38305
Madison County (731) 661-6591
LUNAWATI LO BENNETT
Pharmacist
1050 UNION UNIVERSITY DR
JACKSON, TN 38305
Madison County (561) 420-9471
MARY DAY PHARMD
Pharmacist
1050 UNION UNIVERSITY DR
JACKSON, TN 38305
Madison County (731) 661-5631
BRADLEY SPENCER PHARM.D.
Pharmacist
1050 UNION UNIVERSITY DR
JACKSON, TN 38305
Madison County (731) 661-5913
LYDIA WALDEN
Counselor (Mental Health)
1050 UNION UNIVERSITY DR
JACKSON, TN 38305
Madison County (731) 661-5284
BAYLEE BROOKE BRIDGES
Student in an Organized Health Care Education/Training Program
1050 UNION UNIVERSITY DR
JACKSON, TN 38305
Madison County (731) 668-1818
MISS RILEY RENAY GRAY
Student in an Organized Health Care Education/Training Program
1050 UNION UNIVERSITY DR
JACKSON, TN 38305
Madison County (731) 661-6591
DR. KIM LINDSEY-GOODRICH PHARMD
Pharmacist (Critical Care)
1050 UNION UNIVERSITY DR
JACKSON, TN 38305
Madison County (731) 661-5991

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 Blake Travers's NPI number?

The NPI number for Blake Travers is 1629998232. It was assigned to this individual provider in the NPPES registry on July 16, 2026.

Where is Blake Travers located?

Blake Travers practices at 1050 Union University Dr, Jackson, TN 38305. The listed phone number is (270) 508-0552.

What is Blake Travers's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Blake Travers was last updated on July 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.