OrganizationActive
Traverse Bay Medical, PC
NPI 1124474945 · Primary Care Clinic/Center · Longmont, CO
Provider details
- NPI number
- 1124474945
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Mary Louder, Owner(303) 722-9000
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1815 Sunshine Ave
Longmont, CO 80504-2225
Phone: (303) 722-9000
Street-level locationGet directions
Mailing address
2575 Park Ln Ste 101-B
Lafayette, CO 80026-3200
Other names (DBA / former)
- Doing business as
- Colorado Integrative Medical Center
Registry dates
- Enumerated
- 2016-05-11
- Last updated
- 2016-08-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.