John Brennan Travis, RN
Registered Nurse in Claremore, OK. Individual provider (NPI-1).
NPI number1164070363
StatusActive
Last updated in NPPESAug 30, 2019
Details
- NPI
- 1164070363
- Entity type
- Individual (NPI-1)
- Name
- Mr. John Brennan Travis
- Credential
- RN
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 30, 2019
- Last updated
- Aug 30, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 117182 | OK | Yes |
Practice location
101 S Moore AveClaremore, OK 74017-5047
Phone 918-857-0365
Mailing address
101 S Moore AveClaremore, OK 74017-5047
Phone 918-857-0365
Other practice locations
23709 S Southview Dr
Claremore, OK 74019-5711
Claremore, OK 74019-5711
Phone 918-857-0365
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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