JSK Nelson Medical Professional LLC

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

Legal business name

JSK NELSON MEDICAL PROFESSIONAL LLC

Practice address

2875 Tina Ave Ste 15
Missoula, MT 59808-1581

Phone

(406) 546-4255

Fax

(406) 830-3254

NPI assigned

Dec 27, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Christine Elizabeth Croyle

Title

Office Manager

Phone

(406) 546-4255

Specialties & licenses 1

Addresses

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18049/brand/1/csg/1/fhir/r4

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

{
    "created_epoch": "1545868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545955200000",
    "number": "1215409578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2875 TINA AVE STE 15",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081581",
            "telephone_number": "406-546-4255",
            "fax_number": "406-830-3254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2875 TINA AVE STE 15",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081581",
            "telephone_number": "406-546-4255",
            "fax_number": "406-830-3254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JSK NELSON MEDICAL PROFESSIONAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-27",
        "last_updated": "2018-12-28",
        "status": "A",
        "authorized_official_last_name": "CROYLE",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "406-546-4255",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Anne Jordan, ANP
• Amberlee Jorgenson
• Journey Counseling PLLC
• Cathy M. Joy, LCPC, LAC
• Joyce L Hocker and Assoc PC
• Karla Sue Judge, ATC
• Judy L Schmidt, MD/PC
• Camilla E Juhl-Petersen, MD
• Julie Ballew, LCPC, LLC
• Julie Larkin Aprn PLLC

• Pain Clinic/Center in Missoula, MT
• Providers in Missoula, MT by specialty
• Pain Clinic/Center in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; 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.