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Travis Dale Peterson , NP

Nurse Practitioner - Neonatal β€’ Provo, UT

Active NPI 1467195552 Individual Practitioner Male Practitioner
Practice location in NPPES

1034 N 500 W
Provo, UT 846043380

Call 8013577414 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.

Practice Location & Contact Primary Location

Practice Address

1034 N 500 W

Provo, UT 846043380

Telephone 8013577414
Organization at the Same NPPES Address or Phone
Ihc Health Services, Inc Facility NPI 1235189002

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

NPI first issued

2022

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: NPI first issued

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

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Provo and Utah

10 active clinicians are listed under Nurse Practitioner - Neonatal with a practice address in Provo, UT (87 in Utah).

Addresses are self-reported to NPPES and may be out of date.

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

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2026-02-17
Nurse Practitioner - Neonatal Primary Specialty

NUCC Taxonomy Code: 363LN0000X

License # reported to NPPES UT 8058003-4405
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.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Heather Harper , NP

Nurse Practitioner

NPI 1215691076

Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
πŸ‘€
Provider Name / Credentials Updated February 17, 2026

Recorded as TRAVIS PETERSON, NP

πŸ“
Updated Business Mailing Address January 09, 2023

Registered at PO BOX 27128, SALT LAKE CITY, UT 841270128

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) January 09, 2023

Nurse Practitioner (license number reported to NPPES: UT 8058003-4405)

βœ…
NPI Profile Active April 15, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) April 15, 2022

Registered at 1034 N 500 W, PROVO, UT 846043380 (Tel: 8013577414)

πŸ“
Business Mailing Address (Initial Record) April 15, 2022

Registered at 1033 W 450 S, SPANISH FORK, UT 846605612 (Tel: 8014719489)

πŸ‘€
Provider Name / Credentials (Initial Record) April 15, 2022

Recorded as TRAVIS PETERSON, RN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) April 15, 2022

Registered Nurse (license number reported to NPPES: UT 8058003-3102)

🟒
Initial NPI Registration & Enumeration April 15, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1467195552
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 15, 2022
Last Update: February 17, 2026
Sole Proprietor: No

Mailing Address

Po Box 27128

Salt Lake City, UT 841270128

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.