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TRAVIS RICHARD MOODIE
NPI 1841949971
Student in an Organized Health Care Education/Training Program in Knoxville, TN

Active since March 23, 2022PECOS Enrolled
1924 ALCOA HWY # U-114, KNOXVILLE, TN 37920(865) 305-9340(865) 305-9144 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Travis Richard Moodie NPPES

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

TRAVIS RICHARD MOODIE (NPI 1841949971) is an individual student in an organized health care education/training program in Knoxville, Tennessee and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Fort Sanders Regional Medical Center, and is a graduate of Sanford School Of Medicine Of University Of South Dakota (2022).

NPPES Registry Identity

NPI1841949971
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameTRAVIS RICHARD MOODIE
Location Address1924 ALCOA HWY # U-114Knoxville, TN 37920-1511
Mailing Address1924 Alcoa Hwy # U-114Knoxville, TN 37920-1511 · (865) 305-9340 · Fax (865) 305-9144
Phone(865) 305-9340
Fax(865) 305-9144
Sole ProprietorNo
Medical School CMSSanford School Of Medicine Of University Of South DakotaGraduated 2022
Enumeration DateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1841949971 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
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.
1924 ALCOA HWY # U-114, Knoxville, TN 37920
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Travis Richard Moodie is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7113308743
PECOS Enrollment IDI20251014000826
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Fort Sanders Regional Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440125
Location1901 W Clinch AveKnoxville, TN 37916 · Knox County
Emergency services Birthing friendly

Parkwest Medical Center

Acute Care Hospitals · Knoxville, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440173
Location9352 Park West BlvdKnoxville, TN 37923 · Knox County
Emergency services Birthing friendly

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.

SHAWNT TOSONIAN
Internal Medicine (Critical Care Medicine)
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Knox County (865) 305-6324
BROCK HODGES
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Knox County (865) 305-5137
KRISTEN SCOTT
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Knox County (865) 305-5137
PARTH H PATEL DO
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Knox County (865) 305-3789
KEATON KAYE DO
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Knox County (865) 305-5137
MANAL FATIMA HASSAN MD
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Knox County (865) 305-5137
NICOLAS MASCIA MD
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Knox County (865) 305-5137
TYLER LOCK
Student in an Organized Health Care Education/Training Program
1924 ALCOA HWY # U-114
KNOXVILLE, TN 37920
Knox County (865) 305-5137

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 Moodie's NPI number?

The NPI number for Travis Moodie is 1841949971. It was assigned to this individual provider in the NPPES registry on March 23, 2022.

Where is Travis Moodie located?

Travis Moodie practices at 1924 Alcoa Hwy # U-114, Knoxville, TN 37920. The listed phone number is (865) 305-9340.

What is Travis Moodie's specialty?

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

Is Travis Moodie enrolled in Medicare?

Yes. Travis Moodie is registered in the Medicare PECOS enrollment system.

Is Travis Moodie affiliated with any hospitals?

According to CMS data, Travis Moodie is affiliated with Fort Sanders Regional Medical Center and Parkwest Medical Center.

When was this NPI record last updated?

The NPPES record for Travis Moodie was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.