Individual provider Active NPI

Tana M Taylor, CRNA

  • Certified Registered Nurse Anesthetist
  • Missoula, MT
National Provider Identifier
1750601423
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
NUR-APRN-LIC-100907 Issued in MT
Practice address
1930 W Broadway St Ste a
Missoula, MT 59808-1960
Phone
(406) 541-6844
Fax
(406) 541-6843
NPI assigned
Jun 4, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NUR-APRN-LIC-100907 MT Primary

Addresses

Primary practice location

1930 W Broadway St Ste a
Missoula, MT 59808-1960

Mailing address

5749 Prospect Dr
Missoula, MT 59808-8609

Other practice location 1

5749 Prospect Dr
Missoula, MT 59808-8609
Phone (406) 563-0675

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ttaylor412735@wm.providencedirect.org Barrett Hospital Development Corporation

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120508000462 MT Practitioner - Certified Registered Nurse Anesthetist (Crna) 2961527825 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Montana Gastroenterology, PLLCGroup PAC ID 7618396318, 23 clinicians

Practice addresses (Care Compare)

1930 W Broadway St
Suite a
Missoula, MT 59808-1960
Phone (406) 541-6844

700 W Kent Ave
Missoula, MT 59801-6772
Phone (406) 541-3937

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
NUR-APRN-LIC-100907MTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Missoula Community Health Services, Inc CurrentSince Aug 14, 2020 Accepting new patients
M & M Anesthesia Services, LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2019 Accepting new patients
Missoula Community Health Services, Inc Current Accepting new patients
Gallatin Valley Anesthesia Associates PC CurrentSince Jun 1, 2013 Accepting new patients
Northstar Anesthesia of Montana Nurse Anesthetist, Certified Registered CurrentSince Jul 6, 2022 Accepting new patients
Missoula Community Health Services, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Montana Gastroenterology, PLLC CurrentSince Aug 1, 2024 Accepting new patients
Missoula Community Health Services, Inc Current Accepting new patients
Missoula Community Health Services, Inc. CurrentSince Oct 1, 2019 Accepting new patients
Barrett Hospital Development Corporation Past Accepting new patients
Intercity Radiology, PC Past Accepting new patients
Providence Health & Services - Washington Past Accepting new patients

Locations

400 10th St E
Waconia, MN 55387

305 W Pennsylvania Ave
Anaconda, MT 59711
Phone (406) 563-8571

925 Highland Blvd
Ste 1180
Bozeman, MT 59715
Phone (406) 582-4963

2760 Elizabeth Warren Ave
Butte, MT 59701
Phone (406) 221-2419

600 MT Highway 91 S
Dillon, MT 59725
Phone (406) 683-3001

1509 29th St S
Great Falls, MT 59405
Phone (406) 771-3500

3010 15th Ave S
Great Falls, MT 59405
Phone (406) 771-3095

1930 W Broadway St
Ste A
Missoula, MT 59808
Phone (406) 541-6844

700 W Kent Ave
Missoula, MT 59801
Phone (406) 541-3277

1930 W Broadway St
Ste B
Missoula, MT 59808
Phone (406) 541-6836

500 W Broadway St
Ste A
Missoula, MT 59802
Phone (406) 284-5560

1208 6th Ave
Superior, MT 59872
Phone (406) 683-3401

Interoperability endpoints

  • Direct secure messaging: ttaylor412735@wm.providencedirect.org

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1275609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1750601423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5749 PROSPECT DR",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598088609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1930 W BROADWAY ST STE A",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598081960",
            "telephone_number": "406-541-6844",
            "fax_number": "406-541-6843"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5749 Prospect Dr",
            "address_purpose": "LOCATION",
            "city": "Missoula",
            "state": "MT",
            "postal_code": "598088609",
            "country_code": "US",
            "telephone_number": "406-563-0675",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "TANA",
        "middle_name": "M",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-04",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MT",
            "license": "NUR-APRN-LIC-100907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ttaylor412735@wm.providencedirect.org",
            "affiliation": "Y",
            "affiliationName": "Barrett Hospital Development Corporation",
            "address_1": "600 MT Hwy 91 South",
            "city": "Dillon",
            "state": "MT",
            "country_code": "US",
            "postal_code": "597253597",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Oct 9, 2024; 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.