Active NPI
Deborah Carter, CRNA
- Certified Registered Nurse Anesthetist
- Sioux City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 091644
- Practice address
- 801 5TH St
Sioux City, IA 51101-1394 - Phone
- (712) 279-2505
- NPI assigned
- Aug 10, 2005
- Last updated
- Mar 3, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 091644 | IA | Primary |
Addresses
Primary practice location
801 5TH St
Sioux City, IA 51101-1394
Mailing address
233 W 1St St
Waconia, MN 55387-1302
Phone (952) 442-9770
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1226498 | Medicaid | IA | |
| 30121 | Other | IA | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD, NE
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 09164 | IA | MD | General Practice Dentistry |
| 091644 | IA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siouxland Anesthesiology, LTD | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Greater Siouxland Anesthesiology & Pain Prof LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
400 10th St E
Waconia, MN 55387
201 E 4th St
South Sioux City, NE 68776
Phone (402) 412-2160
101 Tower Rd
Ste 201
North Sioux City, SD 57049
Phone (605) 232-3332
600 N Sioux Point Rd
North Sioux City, SD 57049
Phone (605) 217-4320
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Certified Registered Nurse Anesthetist
- South Sioux City, NE
- NPI 1750916490
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Anesthesiology) Physician
- Dakota Dunes, SD
- NPI 1669496337
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1073515094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "233 W 1ST ST",
"city": "WACONIA",
"state": "MN",
"postal_code": "553871302",
"telephone_number": "952-442-9770",
"fax_number": "952-442-3620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 5TH ST",
"city": "SIOUX CITY",
"state": "IA",
"postal_code": "511011394",
"telephone_number": "712-279-2505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTER",
"first_name": "DEBORAH",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-10",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "091644",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1226498",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "30121",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux City, IA
- Mark S Carlson, DO
- Emily Carnes, CRNA, DNAP
- Cassidy Alana Carr, PMHNP-BC
- Thomas Carroll, D.O.
- Thomas Joseph Carroll Jr., M.D.
- Pam Cassens, RN
- Rodney L. Cassens, MD
- Diana Castro-Moctezuma, LMHC, IADC
- Catholic Charities of the Diocese of Sioux City (Catholic Charities)
- Center for Human Development, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.