COLORADO INTEGRATIVE MEDICAL CENTER
NPI 1124474945
Clinic/Center - Primary Care in Longmont, CO

Q: What is Traverse Bay Medical, PC's NPI number?

The NPI number for Traverse Bay Medical, PC is 1124474945. It was assigned to this organization in the NPPES registry on May 11, 2016. The provider is doing business as Colorado Integrative Medical Center.

Q: What is Traverse Bay Medical, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Active since May 11, 2016

1815 SUNSHINE AVE, LONGMONT, CO 80504(303) 722-9000 Get Directions Write a Review

NPPES record last updated: August 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Colorado Integrative Medical Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLORADO INTEGRATIVE MEDICAL CENTER (NPI 1124474945) is a healthcare organization registered as a primary care in Longmont, Colorado and active in the NPI registry since May 2016. The organization lists Mary Louise Louder, Owner, as its authorized official.

NPPES Registry Identity

NPI1124474945

Entity TypeOrganization

Primary Taxonomy261QP2300X

Legal Business NameTRAVERSE BAY MEDICAL, PC

Location Address1815 SUNSHINE AVELongmont, CO 80504-2225

Mailing Address2575 Park Ln Ste 101-bLafayette, CO 80026-3200 · (303) 722-9000 · Fax (844) 800-1478

Phone(303) 722-9000

Organization SubpartNo

Authorized OfficialMary Louise LouderOwner · (303) 722-9000

Enumeration DateMay 11, 2016

Last NPPES UpdateAugust 1, 2016

✔ NPI 1124474945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities

Taxonomy Code261QP2300X

1815 SUNSHINE AVE, Longmont, CO 80504

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Other Names 1

Doing Business AsColorado Integrative Medical Center

Other Identifiers 1

Medicare UPINF98047CO

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CAROLYN FRANKLIN BAKER RN

Registered Nurse

1815 SUNSHINE AVE
LONGMONT, CO 80504

Weld County (303) 827-8158

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Traverse Bay Medical, PC's NPI number?

The NPI number for Traverse Bay Medical, PC is 1124474945. It was assigned to this organization in the NPPES registry on May 11, 2016. The provider is doing business as Colorado Integrative Medical Center.

Where is Traverse Bay Medical, PC located?

Traverse Bay Medical, PC is located at 1815 Sunshine Ave, Longmont, CO 80504. The listed phone number is (303) 722-9000.

What is Traverse Bay Medical, PC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Traverse Bay Medical, PC was last updated on August 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.