MR. TRAVIS J PETERSON (NPI# 1578751749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578751749 |
| Entity Type | Individual |
| Full Name | MR. TRAVIS J PETERSON |
| Credential | FNP |
| Practice Address |
Psc 819, Box 18 - 219 Fpo AE 09645 |
| Practice Telephone | 01134956823606 |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2008-04-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
17749 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962859074 | Travis Russell Peterson | Physical Therapist | 59 N English Rd, Vineyard, UT 84058-5645 | 2016-05-18 |
| 1033326020 | Travis A Peterson | Orthopaedic Surgery | 990 Medical Dr Ste G4, Brigham City, UT 84302-3077 | 2007-05-17 |
| Street Address |
PSC 819, BOX 18 - 219 |
| City | FPO |
| State | AE |
| Zip Code | 09645 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336497734 | Charles M Geiger | Military Health Care Provider | Navl Hospital Rota Psc 819, Box 18, Fpo, AE 09645 | 2012-08-16 |
| 1962597062 | Tara Jean Zieber | Emergency Medicine | Psc 819 Box 18 #194, Fpo, AE 09645 | 2006-10-04 |
| 1295704625 | Todd Wayne Cahoon | Dentist | Psc 819 Box 18-20, Fpo, AE 09645 | 2006-03-17 |
| 1003884057 | David Minchin | Military Health Care Provider | Psc 819, Box 18- 50, Fpo, AE 09645 | 2006-03-08 |
| 1053383380 | Bryan S. Buchanan | Urology | Psc 819 Box 18-100, Fpo, AE 09645 | 2006-02-02 |
| 1326019290 | Robert L. Dennison | Military Health Care Provider | Psc 819 Box 18 0022, Fpo, AE 09645 | 2006-01-30 |
| 1972573574 | Terry Halbritter | Nurse Practitioner | Naval Hospital Psc 819 Box 18-125, Fpo, AE 09645 | 2006-01-25 |
| 1558341404 | Jody Alan Dreyer | Pharmacist | Psc 819, Box 18, Fpo, AE 09645 | 2006-01-18 |
| 1760461701 | Leslie Carol Fox | Psychologist | Psc 819 Box 50, Fpo, AE 09645 | 2006-01-10 |
| 1316925480 | Carrie Lynn Dreyer | Physical Therapist | Psc 819 Box 18-205, Fpo, AE 09645 | 2006-01-09 |
| Find all providers in zip 09645 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942765367 | Precious Hooks | Nurse Practitioner | 52 4th Ave, Fpo, AP 96349-0026 | 2019-02-11 |
| 1700339512 | Erinn Gelakoska | Nurse Practitioner | Psc 819 Box 4516, Fpo, AE 09645-0046 | 2016-07-28 |
| 1205235801 | Rocio Guadalupe Porras | Nurse Practitioner | Us Naval Hospital Okinawa Commanding Officer, Psc 482, Fpo, AP 96362-1600 | 2014-08-19 |
| 1386069227 | Joan Lynn Miller | Nurse Practitioner | Tinker Air Force Base, 72nd Medical Group Building 1094, Air Depot Blvd, Fpo, AA 73150 | 2014-03-02 |
| 1134309230 | Lucelina Badura | Nurse Practitioner | Psc 827 Box 32, Fpo, AE 09617 | 2007-11-07 |
| 1801860374 | Cynthia Ann Kuehner | Nurse Practitioner | Usnh Box 33, Fpo, AE 09589-1000 | 2006-02-14 |
| 1598737439 | Sandra Merene Pothula | Nurse Practitioner | Psc 475, Box1752, Fpo, AP 96350 | 2006-02-05 |
| 1972573574 | Terry Halbritter | Nurse Practitioner | Naval Hospital Psc 819 Box 18-125, Fpo, AE 09645 | 2006-01-25 |
| 1922525153 | Brooke Basford | Nurse Practitioner | Psc 482 Box 1600, Fpo, AP 96362-9998 | 2017-08-28 |
| 1316491822 | Molly Hurda | Nurse Practitioner | Psc 475, Fpo, AP 96350-1692 | 2016-08-12 |
| Find all providers in FPO | ||||
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| 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.