Traci Elizabeth Schissler, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

R177606 Issued in MD

Practice address

514 Clear Ridge Rd
Union Bridge, MD 21791-9033

Phone

(410) 596-8177

NPI assigned

Aug 19, 2022

Last updated

Aug 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1336867852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 CLEAR RIDGE RD",
            "city": "UNION BRIDGE",
            "state": "MD",
            "postal_code": "217919033",
            "telephone_number": "410-596-8177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 CLEAR RIDGE RD",
            "city": "UNION BRIDGE",
            "state": "MD",
            "postal_code": "217919033",
            "telephone_number": "410-596-8177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHISSLER",
        "first_name": "TRACI",
        "middle_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MD",
            "license": "R177606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@mystyleofwellness.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "514 Clear Ridge Rd",
            "city": "Union Bridge",
            "state": "MD",
            "country_code": "US",
            "postal_code": "217919033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannon Isaacs Marble, LCPC, NCC
• Kathryn McCauslin, CRNP
• Monocacy Health Partners LLC (Union Bridge Family Practice)
• Moonlit Acres Retreat Farm, Inc.
• Rachel O'Brien
• Union Bridge Family Health Center (Union Bridge Pharmacy)
• Union Bridge Family Health Center Inc (Union Bridge Pharmacy)
• Union Bridge Fire Company Inc
• Union Bridge Volunteer Fire Company, Inc.
• Katelynn Marie Watkins, RN

• Registered Nurse in Union Bridge, MD
• Providers in Union Bridge, MD by specialty
• Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.