Provider Demographics
NPI:1649385014
Name:PERKINS, BECKETT SAXMAN (NNP, APRN)
Entity Type:Individual
Prefix:MRS
First Name:BECKETT
Middle Name:SAXMAN
Last Name:PERKINS
Suffix:
Gender:F
Credentials:NNP, APRN
Other - Prefix:MISS
Other - First Name:BECKETT
Other - Middle Name:
Other - Last Name:SAXMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2519 13TH AVE S
Mailing Address - Street 2:
Mailing Address - City:GREAT FALLS
Mailing Address - State:MT
Mailing Address - Zip Code:59405-5178
Mailing Address - Country:US
Mailing Address - Phone:406-455-4477
Mailing Address - Fax:406-268-0084
Practice Address - Street 1:1101 26TH ST S
Practice Address - Street 2:
Practice Address - City:GREAT FALLS
Practice Address - State:MT
Practice Address - Zip Code:59405-5161
Practice Address - Country:US
Practice Address - Phone:406-455-5505
Practice Address - Fax:406-455-4988
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2009-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTRN23954363LN0000X
WAAP60028968363L00000X, 363LN0000X, 363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT1649385014Medicaid
MT0000373770OtherBCBS
WAG8874658Medicare PIN
MT011002409Medicare PIN
MT000085424Medicare PIN
MT0000373770OtherBCBS
MT1649385014Medicaid