Individual provider Active NPI

Elli Braaten, RN

  • Registered Nurse
  • Saint Ignatius, MT
National Provider Identifier
1922712975
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN-RN-LIC-104447 Issued in MT
Practice address
35401 Mission Dr
Saint Ignatius, MT 59865-7791
Phone
(460) 745-3525
NPI assigned
Jan 12, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X LMT-LMT-LIC-22958 MT
Registered Nurse 163W00000X RN-RN-LIC-104447 MT Primary

Addresses

Primary practice location

35401 Mission Dr
Saint Ignatius, MT 59865-7791

Mailing address

PO Box 880
Saint Ignatius, MT 59865-0880
Phone (406) 745-3525

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN-RN-LIC-104447MTMDRegistered Nurse
LMT-LMT-LIC-22958MTMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Confederated Salish & Kootenai Tribes of the Flathead Reservation CurrentSince Jan 15, 2023 Accepting new patients
Confederated Salish and Kootenai Tribes of the Flathead Reservation CurrentSince Jan 15, 2023 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.

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1922712975",
    "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": "460-745-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAATEN",
        "first_name": "ELLI",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MT",
            "license": "LMT-LMT-LIC-22958",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "RN-RN-LIC-104447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Ignatius, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.