Audrey Crawford, REGISTERED NURSE

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

31902 Issued in MT

Practice address

503 Popimi St
Browning, MT 59417-5315

Phone

(406) 338-7912

NPI assigned

Sep 13, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Blackfeet Tribe

  • Federally Qualified Health Center (FQHC)
  • Browning, MT
  • NPI 1407215684
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1568332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1326698192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 POPIMI ST",
            "city": "BROWNING",
            "state": "MT",
            "postal_code": "594175315",
            "telephone_number": "406-338-7912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 POPIMI ST",
            "city": "BROWNING",
            "state": "MT",
            "postal_code": "594175315",
            "telephone_number": "406-338-7912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAWFORD",
        "first_name": "AUDREY",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MT",
            "license": "31902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acrawford@blackfeetnation.com",
            "affiliation": "N",
            "address_1": "503 Popimi St",
            "city": "Browning",
            "state": "MT",
            "country_code": "US",
            "postal_code": "594175315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Barbara L Connelly, RN
• Karla A Connelly, R.N.
• Mary Connelly, RNC
• Amy Beth Copes, PHARMD
• Kenneth Jacob Craig, PHARMD
• Jamisu Lynn Crawford
• Leland Louis Crawford, B.A. L.A.C.S.A.P.
• Crystal Creek Lodge
• James Day
• Amanda Leigh Dean, RN

• All providers in Browning, MT
• Administrator Registered Nurse in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.