TRAVIS POLK (NPI# 1306355409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306355409 |
Entity Type | Individual |
Full Name | TRAVIS POLK |
Credential | AGACNP-BC |
Practice Address |
1801 16th St Greeley CO 80631-5154 |
Mailing Address |
37648 County Road 49 Eaton CO 80615-9411 |
Practice Telephone | 9708106953 |
Enumeration Date | 2017-09-21 |
Last Update Date | 2018-11-23 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
APN.0993351-NP | CO | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
2405 Midpoint Dr, Fort Collins, CO 805254419 | 9704985200 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427679331 | Travis Polk | Specialist/Technologist | 1120 Morningside Dr, Perry, GA 31069-2906 | 2020-05-01 |
1306808860 | Travis Martin Polk | Surgery | 620 John Paul Jones Cir, Nmc Portsmouth, Department of General Surgery, Portsmouth, VA 23708-2111 | 2006-04-03 |
Street Address |
1801 16TH ST |
City | GREELEY |
State | CO |
Zip Code | 80631-5154 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649252867 | Ronald E Baars | Pharmacist | 1801 16th St, Greeley, CO 80631-5154 | 2005-11-15 |
1710585500 | Colten M Bray | Nurse Practitioner | 1801 16th St, Greeley, CO 80631-5154 | 2020-10-13 |
1588271340 | Becky Lynn Evans | Nurse Practitioner | 1801 16th St, Greeley, CO 80631-5154 | 2020-09-25 |
1780290452 | Healthone Clinic Services - Pediatric Specialties LLC | Pediatrics | 1801 16th St, Greeley, CO 80631-5154 | 2020-09-18 |
1023624723 | Jarah Adrianna Grashorn | Social Worker | 1801 16th St, Greeley, CO 80631-5154 | 2020-09-17 |
1972112035 | Healthone Clinic Services - Cardiovascular LLC | Internal Medicine | 1801 16th St, Greeley, CO 80631-5154 | 2020-07-24 |
1831715747 | Sarah Bean | Specialist/Technologist, Other | 1801 16th St, Greeley, CO 80631-5154 | 2020-06-17 |
1457975435 | Antonio Costantini | Nurse Anesthetist, Certified Registered | 1801 16th St, Greeley, CO 80631-5154 | 2020-06-04 |
1376167569 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1801 16th St, Greeley, CO 80631-5154 | 2020-06-03 |
1508480989 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1801 16th St, Greeley, CO 80631-5154 | 2020-06-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1497395743 | Marcia Martinez | Peer Specialist | 1700 N 17th Ave, Greeley, CO 80631 | 2020-01-14 |
1073083036 | Ryan Lawhead | Specialist/Technologist | 270 Alles Dr. D, Butler Hancock Athletic Center, Greeley, CO 80631 | 2018-12-03 |
1447766647 | Patricia G Ferguson | Counselor | 14272 Wcr 72, Greeley, CO 80631 | 2017-12-26 |
1760902662 | Robert Anthony Rexroad | Counselor | 1300 N. 17th Avenue, Greeley, CO 80631 | 2017-06-21 |
1326577750 | Danielle Rodriguez | Psychologist | 1300 N. 17th Ave, Greeley, CO 80631 | 2017-06-08 |
1790157865 | Safeway | Pharmacy | 3526 W 10th Street, Greeley, CO 80631 | 2015-10-28 |
1245574508 | Jayme L Clapp | Counselor | 1407 8th Ave, Greeley, CO 80631 | 2012-11-26 |
1114246006 | Cynthia Melissa Gitler | Emergency Medicine | Banner Health, North Colorado Medical Center, 1601 18th Street, Greenley, CO 80631 | 2010-05-18 |
1942438023 | Khoi Dinh Le | Surgery | 1800 15th St., Suite 200, Greeley, CO 80631 | 2009-06-26 |
1174760011 | Darwin James Hargrave | Counselor | 912 9th Ave., #222, Greeley, CO 80631 | 2009-01-14 |
Find all providers in zip 80631 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275179228 | Dodie Deming | Nurse Practitioner | 1800 15th St Ste 200, Greeley, CO 80631-4563 | 2019-11-25 |
1629613062 | Diane Christensen | Nurse Practitioner | 1801 16th St, Greeley, CO 80631-5154 | 2019-11-08 |
1073070199 | Jessica Lynn Fritz | Nurse Practitioner | 1801 16th St, Greeley, CO 80631-5154 | 2019-02-25 |
1306358429 | Allison Polzin | Nurse Practitioner | 2410 W 16th St, Greeley, CO 80634 | 2017-10-30 |
1164858445 | Reena Dhakal | Nurse Practitioner | 1800 15th Street, Suite 100b, Greeley, CO 80631-4595 | 2013-09-18 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1851992176 | Misty Thomas | Nurse Practitioner | 50059 County Road 15, Wellington, CO 80549-1761 | 2020-11-03 |
1831799477 | Christopher Todd Hassinger | Nurse Practitioner | 3237 Osceola St, Denver, CO 80212-1741 | 2020-10-30 |
1225640113 | Melissa Diane Garth | Nurse Practitioner | 11912 Eudora Dr, Thornton, CO 80233-6406 | 2020-08-20 |
1568074672 | Arthur E Ilharreguy | Nurse Practitioner | 5565 Royal Pine St, Brighton, CO 80601-5370 | 2020-08-19 |
1154932481 | Leah Evans | Nurse Practitioner | 310 S Miller St, Lakewood, CO 80226-2659 | 2020-08-11 |
1982214136 | John Middleton Lariviere | Nurse Practitioner | 1375 Trenton St, Denver, CO 80220-3330 | 2020-08-03 |
1730797127 | Anne Elizabeth Kintop | Nurse Practitioner | 723 Steele St, Denver, CO 80206-3942 | 2020-07-21 |
1568070571 | Harrison Charles Lowell | Nurse Practitioner | 7756 S Flanders St, Centennial, CO 80016-1948 | 2020-07-15 |
1942824537 | Kimberly A Jones | Nurse Practitioner | 3210 N Franklin St, Denver, CO 80205-3903 | 2020-05-30 |
1346862893 | Camella Gullick | Nurse Practitioner | 590 Grey Squirrel Way, Franktown, CO 80116-8762 | 2020-05-07 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on TRAVIS POLK.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.