Active NPI
Carrie L Manning
- Student in an Organized Health Care Education/Training Program
- Poplar, MT
National Provider Identifier
1861236846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- BBH-ACLC-LIC-57313
- Practice address
- PO Box 1027
Poplar, MT 59255-1027 - Phone
- (406) 768-5364
- NPI assigned
- Jun 24, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BBH-ACLC-LIC-57313 | MT | Primary |
Addresses
Primary practice location
PO Box 1027
Poplar, MT 59255-1027
Mailing address
PO Box 1027
Poplar, MT 59255-1027
Phone (406) 768-5364
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| BBH-ACLC-LIC-57313 | MT | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1861236846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1027",
"city": "POPLAR",
"state": "MT",
"postal_code": "592551027",
"telephone_number": "406-768-5364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 1027",
"city": "POPLAR",
"state": "MT",
"postal_code": "592551027",
"telephone_number": "406-768-5364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "CARRIE",
"middle_name": "L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-06-24",
"last_updated": "2024-06-24",
"certification_date": "2023-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MT",
"license": "BBH-ACLC-LIC-57313",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poplar, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.