Traci Kathleen Jasnicki, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

31049 Issued in MT

Practice address

1382 Elkhorn Road
Seeley Lake, MT 59868-1486

Phone

(406) 210-3566

NPI assigned

Feb 23, 2009

Last updated

Feb 23, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1497995047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1486",
            "city": "SEELEY LAKE",
            "state": "MT",
            "postal_code": "598681486",
            "telephone_number": "406-210-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1382 ELKHORN ROAD",
            "city": "SEELEY LAKE",
            "state": "MT",
            "postal_code": "598681486",
            "telephone_number": "406-210-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASNICKI",
        "first_name": "TRACI",
        "middle_name": "KATHLEEN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "MT",
            "license": "31049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Florence Family Practice
• Kimberley T Grover, MPT
• Douglas Stanley Hadnot, D.D.S.
• Halma Chiropractic, PLLC (Seeley Lake Chiropractic)
• Stephen E Humpal, DO
• JPB Montana LLC (Seeley Lake Chiropractic)
• Talia Marie Malone, LMT
• Jama Marie Mauldin, LCSW
• Bruce K Morgan, MD
• James W Normark, RPH

• Emergency Registered Nurse in Seeley Lake, MT
• Providers in Seeley Lake, MT by specialty
• Emergency Registered Nurse in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.