SUSAN MARIE TRAVIS CPNP NPI 1104823863

NPI Information

  • NPI: 1104823863
  • Provider Name: SUSAN MARIE TRAVIS, CPNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 35 S RIVERSIDE AVE
    THE WESTCHESTER MEDICAL PRACTICE PC
    CROTON ON HUDSON, NY
    ZIP 10520
  • Phone: (914) 271-2424

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NPI Details

Susan Marie Travis, CPNP is a pediatrics nurse practitioner in Croton On Hudson, NY. Susan Marie Travis, CPNP NPI is 1104823863. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

35 S RIVERSIDE AVE
THE WESTCHESTER MEDICAL PRACTICE PC
CROTON ON HUDSON, NY
ZIP 10520-653
Phone: (914) 271-2424
Fax: (914) 271-2172

The NPI 1104823863 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/7/2005 and was last updated on 8/1/2013.

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
1363LP0200XNurse PractitionerPediatricsF381651-1NEW YORKYes

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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