Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Travis James North, PA

Individual provider Behavior Analyst · NPI 1821393539

Travis James North, PA is a Physician Assistant in Provo, Utah. Graduated from University of Utah School of Medicine in 2021, 5 years ago. Practices with Revere Health PC, a 410-clinician group and accepts Medicare assignment. Licensed in Utah.

Years since qualifying
5
Trained at
University of Utah School of Medicine
Licensed in
UT
In the registry since
2011
Specialties on file
4
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

1055 N 500 W Bldg A
Provo, UT 84604-3305
Phone: (801) 812-5033
Fax: (801) 812-5034
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8261139-1206 (UT)
Behavior Analyst Taxonomy 103K00000X
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 1821393539 (UT)

Record details

NPI number1821393539
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJanuary 11, 2011
Last updated in NPPESSeptember 7, 2022
Certification dateSeptember 7, 2022
Mailing address1055 N 500 W, Attn Credentialing, Provo, UT 84604-3305

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF UTAH SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Group practice Revere Health Pc — 410 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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