Active NPI
Traci Leone Rasmusson, D.C.
- Chiropractor
- Missoula, MT
National Provider Identifier
1992859557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 866-ACTIVE
- Practice address
- 225 Hickory St
Missoula, MT 59801-1856 - Phone
- (406) 542-3327
- Fax
- (406) 728-8467
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 866-ACTIVE | MT | Primary |
Addresses
Primary practice location
225 Hickory St
Missoula, MT 59801-1856
Mailing address
225 Hickory St
Missoula, MT 59801-1856
Phone (406) 542-3327
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00217129 | Other | MT | RAILROAD BENEFIT PLAN |
| 0000161976 | Medicaid | MT | |
| 41821 | Other | MT | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110128001075 | MT | Practitioner - Chiropractic | 0345429890 | Practice locations: Missoula, MT |
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 1997
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2831 Fort Missoula Rd
Suite 304
Missoula, MT 59804-7479
Phone (406) 542-3327
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 866-ACTIVE | MT | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duncan L Hubbard, MD, PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Missoula, MT
- NPI 1942538897
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1992859557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "225 HICKORY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598011856",
"telephone_number": "406-542-3327",
"fax_number": "406-728-8467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 HICKORY ST",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598011856",
"telephone_number": "406-542-3327",
"fax_number": "406-728-8467"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RASMUSSON",
"first_name": "TRACI",
"middle_name": "LEONE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MT",
"license": "866-ACTIVE",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD BENEFIT PLAN",
"identifier": "P00217129",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000161976",
"state": "MT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "41821",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.