TRAVIS RADCLIFF NPI 1518580992

NPI Information

  • NPI: 1518580992
  • Provider Name: TRAVIS RADCLIFF
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4115 CRESTWOOD CIR
    WINSTON SALEM, NC
    ZIP 27107
  • Phone: (850) 699-3842

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NPI Details

Travis Radcliff is a psychiatric/mental health nurse practitioner in Winston Salem, NC with 2 years of experience. Travis Radcliff NPI is 1518580992. 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:

4115 CRESTWOOD CIR
WINSTON SALEM, NC
ZIP 27107-788
Phone: (850) 699-3842

The NPI 1518580992 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/20/2020 and was last updated on 3/12/2025.

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
1163WM0705XRegistered NurseMedical-Surgical248905NORTH CAROLINANo
2363LP0808XNurse PractitionerPsychiatric/Mental Health5021808NORTH CAROLINAYes

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: 11/21/2025

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