Individual provider Active NPI

Traci Leone Rasmusson, D.C.

  • Chiropractor
  • Missoula, MT
National Provider Identifier
1992859557
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
866-ACTIVE Issued in MT
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P00217129OtherMTRAILROAD BENEFIT PLAN
0000161976MedicaidMT
41821OtherMTBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
866-ACTIVEMTMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.