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Active NPI 1467195552 Individual Practitioner Male Practitioner

Travis Dale Peterson , NP

Nurse Practitioner - Neonatal • Provo, UT

Professional Overview & Biography Verified Profile Summary

Travis Peterson, NP is a registered healthcare professional specializing in Nurse Practitioner - Neonatal in Provo, UT. Practice services are available at 1034 N 500 W under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1034 N 500 W

Provo, UT 846043380

Telephone 8013577414
Associated Practice Facility / Clinic
🏢 Ihc Health Services, Inc Facility NPI 1235189002

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Neonatal in Provo, UT

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.0 Yrs
Regional Practice Density
10 Specialists

Practicing in Provo, UT (88 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-02-17
Nurse Practitioner - Neonatal Primary Specialty

NUCC Taxonomy Code: 363LN0000X

State License UT 8058003-4405

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Jamee Gibert , NP

Nurse Practitioner

NPI 1023788122

Nurse Practitioner

Valerie Christensen , NNP

Registered Nurse - Neonatal Intensive Care

NPI 1043974801
Heather Harper , NP

Nurse Practitioner

NPI 1215691076

Nurse Practitioner

Kristy Houser , APRN

Nurse Practitioner - Neonatal

NPI 1245986165

Advanced Practice Registered Nurse

Kara Leavitt , NNP-BC

Nurse Practitioner - Neonatal

NPI 1457174427

NNPBC

Dr. Timothy Bahr , MD

Pediatrics - Neonatal-Perinatal Medicine

NPI 1558740316

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
👤
Provider Name / Credentials Updated February 17, 2026

Recorded as TRAVIS PETERSON, NP

📍
Updated Business Mailing Address January 09, 2023

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

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

Nurse Practitioner (License #8058003-4405 in UT)

NPI Profile Active April 15, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 15, 2022

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

📍
Updated Business Mailing Address April 15, 2022

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

👤
Provider Name / Credentials Updated April 15, 2022

Recorded as TRAVIS PETERSON, RN

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

Registered Nurse (License #8058003-3102 in UT)

🟢
Initial NPI Registration & Enumeration April 15, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.