Travis Scothern

Physician • Sandy, UT

Deactivated NPI 1265924708 Deactivated in NPPES Male Practitioner

Practice location in NPPES

8925 S Cold Water Dr Apt 2134
Sandy, UT 840941885

Phone: 8012002617

Location details and other listings

Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

This NPI Is Deactivated in NPPES

NPPES lists this NPI as deactivated as of March 04, 2019; the reason is not published. The records below are historical. They do not show whether Travis Scothern currently practices or holds a license; check the state medical board for current license status.

NPI Enumeration Date May 31, 2018

NPI Deactivation Date March 04, 2019

NPI Active Period 2018 – 2019

Practice Location & Contact Primary Location

Practice Address

8925 S Cold Water Dr Apt 2134

Sandy, UT 840941885

Telephone 8012002617

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What Public CMS Data Show

These CMS figures cover limited populations and published records; they are not quality ratings or medical advice.

Physician: NPPES taxonomy is a reported classification, not proof of board certification.

NPI first issued

2018

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Compared with the same specialty in Sandy and Utah

Comparisons are not shown because NPPES lists this NPI as deactivated.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Specialties & License Numbers Reported to NPPES

Non-emergency Medical Transport (VAN) Primary Specialty

NUCC Taxonomy Code: 343900000X

License # reported to NPPES UT 10846227

A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Utah Division of Professional Licensing.

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Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events

⚠️

NPI Profile Deactivated March 04, 2019

NPPES lists this NPI as deactivated as of March 04, 2019; the reason is not published.

✅

NPI Profile Active May 31, 2018

NPI status registered as active in NPPES database

📍

Practice Location (Initial Record) May 31, 2018

Registered at 8925 S COLD WATER DR APT 2134, SANDY, UT 840941885 (Tel: 8012002617)

📍

Business Mailing Address (Initial Record) May 31, 2018

Registered at 8925 S COLD WATER DR APT 2134, SANDY, UT 840941885 (Tel: 8012002617)

👤

Provider Name / Credentials (Initial Record) May 31, 2018

Recorded as TRAVIS SCOTHERN

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2018

Non-emergency Medical Transport (VAN) (license number reported to NPPES: UT 10846227)

🟢

Initial NPI Registration & Enumeration May 31, 2018

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1265924708

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: May 31, 2018

Last Update: May 31, 2018

Deactivation Date: March 04, 2019

Update or Correct Profile

Mailing Address

8925 S Cold Water Dr Apt 2134

Sandy, UT 840941885

Phone: 8012002617

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.