Debra Montgomery, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

818098 Issued in MS

Practice address

15120 County Barn Rd
Gulfport, MS 39503-4263

Phone

(228) 213-3900

Fax

(228) 575-6295

NPI assigned

Oct 26, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1043082639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18679",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394048679",
            "telephone_number": "601-705-1901",
            "fax_number": "601-705-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15120 COUNTY BARN RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395034263",
            "telephone_number": "228-213-3900",
            "fax_number": "228-575-6295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "DEBRA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MS",
            "license": "818098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khaled Mohamed, MD
• Majaazuddin Mohammed, M.D.
• Safia Mohiuddin, MD
• Michael Mollett, PHARMD
• Brenda Joyce Monroe, LPC
• Jane W Montgomery, APMHNP
• Tiffany Montgomery
• Erin W Moody, PT
• Angela Ryland Mooers
• Melissa Moon Muirhead, M.D.

• Registered Nurse in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.