Tara Jaeger, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

NUR-RN-LIC-126879 Issued in MT

Practice address

35401 Mission Dr
Saint Ignatius, MT 59865-7791

Phone

(406) 745-3525

NPI assigned

Apr 4, 2024

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

Practice roles

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.

• Confederated Salish & Kootenai Tribes of the Flathead Reservation

  • Community/Retail Pharmacy
  • Saint Ignatius, MT
  • NPI 1669502316
  NPD
• Confederated Salish and Kootenai Tribes of the Flathead Reservation

  • Federally Qualified Health Center (FQHC)
  • Saint Ignatius, MT
  • NPI 1952402208
  NPD

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

{
    "created_epoch": "1712188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1881446540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880",
            "city": "SAINT IGNATIUS",
            "state": "MT",
            "postal_code": "598650880",
            "telephone_number": "406-745-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35401 MISSION DR",
            "city": "SAINT IGNATIUS",
            "state": "MT",
            "postal_code": "598657791",
            "telephone_number": "406-745-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGER",
        "first_name": "TARA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-04-04",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "NUR-RN-LIC-126879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Theresa H. Hardy, R.T.
• Michael Allen Hertz, R PH
• Emily Hicks, PHD
• Sherri R. Hocker, RN
• Sheila Ann Hurd, PMHNP
• Amanda L. Jansen, RPH
• Kristin M. Johnson, PHARM D
• Kyle Johnson, PHARMD
• Ellen R. Kaphammer, R.N.
• Koinonia

• All providers in Saint Ignatius, MT
• Registered Nurse in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.