Individual provider Active NPI

Keisha Marie Stosich, RN

  • Community Health Registered Nurse
  • Butte, MT
National Provider Identifier
1023832235
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
NUR-RN-LIC-39649 Issued in MT
Practice address
25 W Front St
Butte, MT 59701-2801
Phone
(406) 497-5075
Fax
(406) 497-5095
NPI assigned
Nov 13, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X NUR-RN-LIC-39649 MT
Ambulatory Women's Health Care Registered Nurse 163WW0101X NUR-RN-LIC-39649 MT
Community Health Registered Nurse 163WC1500X NUR-RN-LIC-39649 MT Primary

Addresses

Primary practice location

25 W Front St
Butte, MT 59701-2801

Mailing address

25 W Front St
Butte, MT 59701-2801
Phone (406) 497-5075

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
NUR-RN-LIC-39649MTMDWound Care Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753920000000",
    "number": "1023832235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 W FRONT ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012801",
            "telephone_number": "406-497-5075",
            "fax_number": "406-497-5095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 W FRONT ST",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597012801",
            "telephone_number": "406-497-5075",
            "fax_number": "406-497-5095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STOSICH",
        "first_name": "KEISHA",
        "middle_name": "MARIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2025-07-31",
        "certification_date": "2025-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "MT",
            "license": "NUR-RN-LIC-39649",
            "primary": false
        },
        {
            "code": "163WW0101X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Women's Health Care, Ambulatory",
            "state": "MT",
            "license": "NUR-RN-LIC-39649",
            "primary": false
        },
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MT",
            "license": "NUR-RN-LIC-39649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.