Provider Demographics
NPI:1780669820
Name:CARTER, ALISON BRADEN (CRNA)
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:BRADEN
Last Name:CARTER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:S. ALISON
Other - Middle Name:S
Other - Last Name:BRADEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:PO BOX 1155
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59103-1155
Mailing Address - Country:US
Mailing Address - Phone:406-702-7801
Mailing Address - Fax:
Practice Address - Street 1:940 N 30TH ST
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59101-0742
Practice Address - Country:US
Practice Address - Phone:877-670-2447
Practice Address - Fax:406-248-3346
Is Sole Proprietor?:No
Enumeration Date:2005-12-13
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX608609367500000X
MT37449367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX122780OtherSUPERIOR
TX164112805Medicaid
TX8930UCOtherTX BCBS
TXP00070014OtherRAILROAD MEDICARE
TX164112801Medicaid
TX84055UOtherBLUE CROSS BLUE SHIELD
TX164112801OtherSUPERIOR HEALTH CHIPS
MTM011000224Medicare PIN
TX8930UCOtherTX BCBS
TX84055UOtherBLUE CROSS BLUE SHIELD