Michelle Montgomery, WHNP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

2002007463 Issued in MO

Practice address

559 Vincent St
Family Practice Clinic
Peterson Afb, CO 80914-1540

Phone

(719) 556-1080

Fax

(719) 556-1266

NPI assigned

Jan 20, 2006

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

State licenses

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271116800000",
    "number": "1043290323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST",
            "address_2": "FAMILY PRACTICE CLINIC",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809141541",
            "telephone_number": "719-556-1080",
            "fax_number": "719-556-1266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST",
            "address_2": "FAMILY PRACTICE CLINIC",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141540",
            "telephone_number": "719-556-1080",
            "fax_number": "719-556-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MICHELLE",
        "credential": "WHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2010-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "2002007463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Winnie Lok, RPH
• Scott Lee Maynard, LMSW
• Matthew Sean McDonough, M.D.
• Mary B Medige
• Joseph Edward Meno III, USAF IDMT-PARAMEDIC
• Andrew Erle Moore, M.D.
• Janel Sharp Moreno, ARNP
• Todd William Neu, PSYCHOLOGIST PHD
• Christopher Noullet
• John Glenn O'Donnell, PHARMD

• Women's Health Nurse Practitioner in Peterson Afb, CO
• Providers in Peterson Afb, CO by specialty
• Women's Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2010; 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.