1. Home
  2. Directory
  3. Colorado
  4. Peterson Afb
  5. Physician Assistant
  6. NPI Profile

MR. TRAVIS PAUL WATERS PA-C
NPI 1649372145
Physician Assistant in Peterson Afb, CO

Active since September 04, 2006
559 VINCENT ST, STE. 102, PETERSON AFB, CO 80914(719) 556-1131(719) 556-1129 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Travis Paul Waters Pa-c NPPES

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

MR. TRAVIS PAUL WATERS PA-C (NPI 1649372145) is an individual physician assistant in Peterson Afb, Colorado, licensed in Colorado (1722) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1649372145
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. TRAVIS PAUL WATERSCredential: PA-C
Location Address559 VINCENT ST, STE. 102Peterson Afb, CO 80914-1541
Mailing Address35 Tanner PkwyCanon City, CO 81212-9418 · (719) 276-0967
Phone(719) 556-1131
Fax(719) 556-1129
Sole ProprietorYes
Enumeration DateSeptember 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1649372145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CO · 1722
Definition
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.
559 VINCENT ST, Peterson Afb, CO 80914
Open in Google Maps ↗

Other Providers at the Same Location NPPES 20

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

KRYSTIN HUST DPT
Physical Therapist
559 VINCENT ST
PETERSON AFB, CO 80914
El Paso County (719) 524-2273
JAMES NEAL SUTHERLAND DDS
Dentist
559 VINCENT ST
PETERSON AFB, CO 80914
El Paso County (719) 556-1060
WAYNE ERWIN GRABOW DENTIST DDS
Dentist
559 VINCENT ST, 21 DS/SGGD-DENTAL CLINIC
PETERSON AFB, CO 80914
El Paso County (719) 556-1333
MICHELLE MONTGOMERY WHNP
Nurse Practitioner (Women's Health)
559 VINCENT ST, FAMILY PRACTICE CLINIC
PETERSON AFB, CO 80914
El Paso County (719) 556-1080
MEREDITH L FAAS LCSW
Social Worker (Clinical)
559 VINCENT ST
COLORADO SPRINGS, CO 80914
El Paso County (719) 357-8957
MR. RYAN S OGILVY MSW, LCSW
Social Worker (Clinical)
559 VINCENT ST, ATTN: 21MDOS/SGOW- MENTAL HEALTH
PETERSON AFB, CO 80914
El Paso County (719) 556-7804
ALICIA TERESA ROZYCKI PH.D.
Psychologist (Counseling)
559 VINCENT ST, ATTN: 21 MDS - SGOF
PETERSON AFB, CO 80914
El Paso County (719) 567-4489
DR. LOUIS A PAGANO JR. PH.D.
Psychologist (Counseling)
559 VINCENT ST, ATTN: 21 MDS/SGOW-MENTAL HEALTH
PETERSON AFB, CO 80914
El Paso County (719) 526-8873

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 Travis Waters's NPI number?

The NPI number for Travis Waters is 1649372145. It was assigned to this individual provider in the NPPES registry on September 4, 2006.

Where is Travis Waters located?

Travis Waters practices at 559 Vincent St Ste. 102, Peterson Afb, CO 80914. The listed phone number is (719) 556-1131.

What is Travis Waters's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

When was this NPI record last updated?

The NPPES record for Travis Waters 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.