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DR. TRAVIS JOHN RIDDELL M.D.
NPI 1720255128
Pediatrics in Jackson, WY

Active since May 14, 2008
460 E PEARL AVE, JACKSON, WY 83001(307) 733-6401 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Travis John Riddell M.d. NPPES

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

DR. TRAVIS JOHN RIDDELL M.D. (NPI 1720255128) is an individual pediatrics provider in Jackson, Wyoming, licensed in Massachusetts (229430) and active in the NPI registry since May 2008.

NPPES Registry Identity

NPI1720255128
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. TRAVIS JOHN RIDDELLCredential: M.D.
Location Address460 E PEARL AVEJackson, WY 83001-8410
Mailing AddressPo Box 1029Jackson, WY 83001-1029 · (307) 733-4627 · Fax (307) 733-5184
Phone(307) 733-6401
Sole ProprietorNo
Enumeration DateMay 14, 2008
Last NPPES UpdateAugust 26, 2025
NPPES CertifiedAugust 25, 2025
✔ NPI 1720255128 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in MA · 229430
Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

460 E PEARL AVE, Jackson, WY 83001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Wyoming, Moda Health Plan, Inc., UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES

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

COUNTY OF TETON
Public Health or Welfare
460 E PEARL AVE
JACKSON, WY 83001
Teton County (307) 733-6401

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 Riddell's NPI number?

The NPI number for Travis Riddell is 1720255128. It was assigned to this individual provider in the NPPES registry on May 14, 2008.

Where is Travis Riddell located?

Travis Riddell practices at 460 E Pearl Ave, Jackson, WY 83001. The listed phone number is (307) 733-6401.

What is Travis Riddell's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

What insurance does Travis Riddell accept?

Health plans from Blue Cross Blue Shield of Wyoming, Moda Health Plan, Inc. and UnitedHealthcare list Travis Riddell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Travis Riddell was last updated on August 26, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.