TRAVIS MOULTON NPI 1104307842

NPI Information

  • NPI: 1104307842
  • Provider Name: TRAVIS MOULTON
  • Classification: Home Health Aide - 374U00000X
  • Entity Type: Individual
  • Address: 708 FAIRFIELD ST
    OAKLAND, ME
    ZIP 04963
  • Phone: (207) 660-7363

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NPI Details

Travis Moulton is a home health aide in Oakland, ME. The provider is a person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. Travis Moulton NPI is 1104307842. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

708 FAIRFIELD ST
OAKLAND, ME
ZIP 04963-220
Phone: (207) 660-7363

The enumeration date for this NPI number is 8/21/2018 and was last updated on 8/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1374U00000XHome Health Aide03192015MAINEYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1$$$$$$$$$MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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