ANGEL TRAVIS
NPI 1700694981
Licensed Practical Nurse in Modena, NY

Q: What is Angel Travis's NPI number?

The NPI number for Angel Travis is 1700694981. It was assigned to this individual provider in the NPPES registry on December 20, 2024.

Q: What is Angel 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 Angel Travis was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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 December 20, 2024

1990 STATE ROUTE 32 # 12548, MODENA, NY 12548(845) 430-1495 Get Directions Write a Review

NPPES record last updated: December 20, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Angel Travis NPPES

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

ANGEL TRAVIS (NPI 1700694981) is an individual licensed practical nurse in Modena, New York, licensed in New York (348509) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1700694981

Entity TypeIndividualFemale

Primary Taxonomy164W00000X

Provider Legal NameANGEL TRAVIS

Location Address1990 STATE ROUTE 32 # 12548Modena, NY 12548-5013

Mailing Address1990 State Route 32Modena, NY 12548-5013

Phone(845) 430-1495

Sole ProprietorYes

Enumeration DateDecember 20, 2024

NPPES CertifiedDecember 20, 2024

✔ NPI 1700694981 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 · 348509

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.

1990 STATE ROUTE 32 # 12548, Modena, NY 12548

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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 Angel Travis's NPI number?

The NPI number for Angel Travis is 1700694981. It was assigned to this individual provider in the NPPES registry on December 20, 2024.

Where is Angel Travis located?

Angel Travis practices at 1990 State Route 32 # 12548, Modena, NY 12548. The listed phone number is (845) 430-1495.

What is Angel 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 Angel Travis was last updated on December 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.