Traci Raines Aprn PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

100701 Issued in MT

Legal business name

TRACI RAINES APRN PLLC

Practice address

120 Marillyn Dr
Great Falls, MT 59405

Phone

(406) 560-1054

NPI assigned

Feb 9, 2018

Organization subpart

No

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

Authorized official

Name

Traci Lappin Raines

Title

Aprn

Phone

(406) 560-1054

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1982103446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MARILLYN DR",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594057258",
            "telephone_number": "406-560-1054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MARILLYN DR",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "59405",
            "telephone_number": "406-560-1054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRACI RAINES APRN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "TRACI",
        "authorized_official_middle_name": "LAPPIN",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "406-560-1054"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "100701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatric/Mental Health Nurse Practitioner in Great Falls, MT
• Providers in Great Falls, MT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.