Travis Lee Taylor
FNP-C, CRNFA | Nurse Practitioner | 12+ years Exp
30544 Highway 200 Ste 102, Ponderay
Idaho, 83852-5005
208-265-9817
Travis Lee Taylor is a Ponderay, Idaho based nurse practitioner with 12 years of experience in Nurse Practitioner. He completed his graduation in 2013. and . He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Travis Lee Taylor is NP-1376A for Family in Idaho. His current practice location is 30544 Highway 200 Ste 102, Ponderay. Patients can reach him at 208-265-9817. Travis Lee Taylor is FNP-C, CRNFA with specialization in Nurse Practitioner and his NPI number (Unique professional ID assigned by NPPES) is 1255597811.
Travis Lee Taylor has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Travis Lee Taylor speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Travis Lee Taylor |
| Specialization: | Nurse Practitioner Nurse Practitioner (NP) |
| Gender: | Male |
| Credentials: | FNP-C, CRNFA |
| Experience: | 12+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2013 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 30544 Highway 200 Ste 102, Ponderay,
Idaho, 83852-5005 |
| Phone: | 208-265-9817 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 5597989897 |
| Enrollment ID: | I20140606000279 |
| NPI Number: | 1255597811 |
| NPI Enumeration Date: | 04 Aug, 2008 |
| NPI Last Update On: | 05 Jul, 2014 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Travis Lee Taylor are as mentioned below.
| License Number | Specialization | State | Status | |
| NP-1376A | Family | Idaho | Primary | |
| N-37973 | Registered Nurse | Idaho | Secondary | |
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
| Hospital Name (CCN) | State | Hospital Type |
| (131328) | Sandpoint, ID | Critical Access Hospital |
| (131301) | Bonners ferry, ID | Critical Access Hospital |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Travis Lee Taylor is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Michael R Dibenedetto Md Pllc (0840385670) | 9 |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Travis Lee Taylor
335 S Lavina Ave,
Sandpoint, Idaho |
| Zip: | 83864-1721 |
| Phone Number: | 208-946-8219 |
Patients can reach Travis Lee Taylor at
30544 Highway 200 Ste 102, Ponderay, Idaho or can
call to book an appointment on 208-265-9817.
Comments/ Reviews:
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.