Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KIMBER RENA TRAVIS
NPI 1710828066
Nurse Practitioner in San Diego, CA

Q: What is Kimber Travis's NPI number?

The NPI number for Kimber Travis is 1710828066. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Q: What is Kimber Travis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Kimber Travis was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.

Active since April 02, 2026

424 15TH ST, SAN DIEGO, CA 92101(757) 675-2049 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2026, Apr 2, 2026 (2 updates tracked since 2026).

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About Kimber Rena Travis NPPES

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

KIMBER RENA TRAVIS (NPI 1710828066) is an individual nurse practitioner in San Diego, California, licensed in Utah (14291528-4405) and active in the NPI registry since April 2026. She maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1710828066

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameKIMBER RENA TRAVIS

Location Address424 15TH STSan Diego, CA 92101-7792

Mailing Address424 15th StSan Diego, CA 92101-7792 · (757) 675-2049

Phone(757) 675-2049

Sole ProprietorYes

Enumeration DateApril 2, 2026

Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration

NPPES CertifiedJuly 17, 2026

✔ NPI 1710828066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in UT · 14291528-4405✔ Licensed in CA · 95039131

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

424 15TH ST, San Diego, CA 92101

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Secondary Practice Location 1

Location 110 W Broadway Fl 7Salt Lake City, UT 84101-2060 · Phone (425) 243-3719

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Kimber Travis's NPI number?

The NPI number for Kimber Travis is 1710828066. It was assigned to this individual provider in the NPPES registry on April 2, 2026.

Where is Kimber Travis located?

Kimber Travis practices at 424 15th St, San Diego, CA 92101. The listed phone number is (757) 675-2049.

What is Kimber Travis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Kimber Travis was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 30 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.