TRAVIS JAMES NORTH PA NPI 1821393539

NPI Information

NPI: 1821393539
Provider Name: TRAVIS JAMES NORTH, PA
Classification: Physician Assistant - 363A00000X
Entity Type: Individual
PECOS Registration: Yes
Address: 1055 N 500 W BLDG A
PROVO, UT
ZIP 84604
Phone: (801) 812-5033

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NPI Details

Travis James North, PA is a physician assistant in Provo, UT with 5 years of experience. The provider is a physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. Travis James North, PA NPI is 1821393539. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduation Year:2021

The provider's business location address is:

1055 N 500 W BLDG A
PROVO, UT
ZIP 84604-305
Phone: (801) 812-5033
Fax: (801) 812-5034

The NPI 1821393539 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 1/11/2011 and was last updated on 9/7/2022.

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	License Number	License State	Primary
1	103K00000X	Behavior Analyst			No
2	390200000X	Student in an Organized Health Care Education/Training Program		UTAH	No
3	363A00000X	Physician Assistant	8261139-1206	UTAH	Yes
4	390200000X	Student in an Organized Health Care Education/Training Program	1821393539	UTAH	No

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	1821393539	MEDICAID	UTAH

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

NPI Synchronization or Removal

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