Individual provider Active NPI

Nicole Elizabeth Traceski, LMT

  • Massage Therapist
  • Colorado Springs, CO
National Provider Identifier
1245903491
Registry record updated Jul 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT.0024243 Issued in CO
Practice address
3920 N Union Blvd Ste 160
Colorado Springs, CO 80907-4907
Phone
(719) 632-4754
NPI assigned
Jul 25, 2021
Last updated
Jul 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT.0024243 CO Primary

Addresses

Primary practice location

3920 N Union Blvd Ste 160
Colorado Springs, CO 80907-4907

Mailing address

520 W Brookside St
Colorado Springs, CO 80905-2009
Phone (719) 761-6008

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

State licenses

LicenseStateTypeSpecialty
MT.0024243COMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1627171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627171200000",
    "number": "1245903491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 W BROOKSIDE ST",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809052009",
            "telephone_number": "719-761-6008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 N UNION BLVD STE 160",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809074907",
            "telephone_number": "719-632-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRACESKI",
        "first_name": "NICOLE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-25",
        "last_updated": "2021-07-25",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CO",
            "license": "MT.0024243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2021; 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.