Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
TRAVIS DONOVAN NEWMAN
Active
Individual
TRAVIS DONOVAN NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
71005126A
IN
363LF0000X
Family Nurse Practitioner
Primary
71005126A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001612604
ANTHEM PTAN
IN
05
—
201261210
—
IN
Enumeration date
09/22/2014
Last updated
12/18/2024
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