TRAVIS DALE PETERSON NP
NPI 1467195552
Nurse Practitioner - Neonatal in Provo, UT
About Travis Dale Peterson Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRAVIS DALE PETERSON NP (NPI 1467195552) is an individual neonatal provider in Provo, Utah, licensed in Utah (8058003-4405) and active in the NPI registry since April 2022.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Travis Peterson's NPI number?
The NPI number for Travis Peterson is 1467195552. It was assigned to this individual provider in the NPPES registry on April 15, 2022.
Where is Travis Peterson located?
Travis Peterson practices at 1034 N 500 W, Provo, UT 84604. The listed phone number is (801) 357-7414.
What is Travis Peterson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.
What insurance does Travis Peterson accept?
Health plans from Select Health list Travis Peterson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Travis Peterson was last updated on February 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Travis Dale Peterson, NP · NPI 1467195552
Neonatal physician in Provo, Utah. Individual provider, active in the CMS NPPES registry since April 15, 2022.
## Identity
- **NPI:** 1467195552 (Entity type: Individual)
- **Enumerated:** April 15, 2022
- **Primary specialty:** Nurse Practitioner - Neonatal · taxonomy 363LN0000X
- **State license:** 8058003-4405 (Utah)
- **Sole proprietor:** No
## Practice location
- **Address:** 1034 N 500 W, Provo, UT 84604-3380
- **Phone:** (801) 357-7414
## Record status
- **NPPES last updated:** February 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1467195552) · Data from the CMS NPPES public registry.