Active NPI
Traci L Raines, APRN, FPMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Great Falls, MT
National Provider Identifier
1659620862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 33133
- Practice address
- 2800 13TH Street South
Suite 6
Great Falls, MT 59405 - Phone
- (406) 731-8865
- Fax
- (406) 731-8874
- NPI assigned
- Sep 4, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 33133 | MT | Primary |
Addresses
Primary practice location
2800 13TH Street South
Suite 6
Great Falls, MT 59405
Mailing address
2800 13TH Street South
Suite 6
Great Falls, MT 59405
Phone (406) 731-8865
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000371690 | Other | MT | BLUE CROSS-SHIELD OF MONTANA |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33133 | MT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rocky Front Counseling Services, LLC | Psychiatric/Mental Health | Past | Accepting new patients |
| Center for Mental Health | Psychiatric/Mental Health | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Great Falls, MT
- NPI 1144251885
Psychiatric/Mental Health
-
- Mental Health Counselor
- Great Falls, MT
- NPI 1871030882
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1430179200000",
"number": "1659620862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 13TH STREET SOUTH",
"address_2": "SUITE 6",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "59405",
"telephone_number": "406-731-8865",
"fax_number": "406-731-8874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2800 13TH STREET SOUTH",
"address_2": "SUITE 6",
"city": "GREAT FALLS",
"state": "MT",
"postal_code": "59405",
"telephone_number": "406-731-8865",
"fax_number": "406-731-8874"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAINES",
"first_name": "TRACI",
"middle_name": "L",
"credential": "APRN, FPMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-04",
"last_updated": "2015-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "MT",
"license": "33133",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS-SHIELD OF MONTANA",
"identifier": "0000371690",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Great Falls, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.