TRAVIS POLK


Address: 1801 16th St, Greeley, CO 80631-5154
Phone: 9708106953

TRAVIS POLK (NPI# 1306355409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Provider Secondary Practice Location

Address Telephone Number Fax Number
2405 Midpoint Dr, Fort Collins, CO 805254419 9704985200

Other Providers TRAVIS POLK

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

Office Location

Street Address 1801 16TH ST
City GREELEY
State CO
Zip Code 80631-5154

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LA2100X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Acute Care

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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
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Competitor

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City GREELEY
Zip Code 80631

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Dataset Information

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.

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