Active NPI
Heather M Montgomery-Kanitz, CRNA
- Certified Registered Nurse Anesthetist
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 4704244681
- Practice address
- 3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493 - Phone
- (616) 364-4200
- Fax
- (616) 364-7347
- NPI assigned
- May 30, 2012
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 4704244681 | MI | Primary |
Addresses
Primary practice location
3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Mailing address
3333 Evergreen Dr NE
Grand Rapids, MI 49525-9493
Phone (616) 364-4200
Other names 1
- Ms. Heather M Montgomery
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1105 6TH St
Traverse City, MI 49684-2345
Phone (231) 935-5000
400 Hobart St
Cadillac, MI 49601-2331
Phone (231) 876-3876
4100 Park Forest Dr
Traverse City, MI 49684-7331
Phone (231) 392-8900
825 N Ctr Ave
Gaylord, MI 49735-1592
Phone (989) 731-2201
Hospital & facility affiliations
- Munson Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704244681 | MI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Munson Medical Center | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Cadillac | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Anesthesia Professional Services PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Macatawa Anesthesia PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Michigan II PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Medical Group | Current | Accepting new patients | |
| Munson Medical Group | Current | Accepting new patients | |
| Munson Healthcare Cadillac | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Otsego Memorial Hospital | Current | Accepting new patients | |
| Munson Healthcare Otsego Memorial Hospital | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Medical Group | Current | Accepting new patients | |
| Munson Medical Center | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Munson Healthcare Cadillac | Past | Accepting new patients |
Locations
2891 Momentum Pl
Chicago, IL 60689
3775 Momentum Pl
Chicago, IL 60689
400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200
14700 Lake Shore Dr
Charlevoix, MI 49720
Phone (231) 547-3840
829 N Center Ave
Ste 210
Gaylord, MI 49735
Phone (989) 731-7860
825 N Center Ave
Gaylord, MI 49735
Phone (989) 731-2100
750 E Beltline Ave NE
Ste 203
Grand Rapids, MI 49525
Phone (616) 940-3600
168 S Howell St
Hillsdale, MI 49242
Phone (517) 437-4451
602 Michigan Ave
Holland, MI 49423
Phone (616) 394-3350
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
3400 E Jolly Rd
Lansing, MI 48910
Phone (517) 272-1063
5623 E Dunbar Rd
Monroe, MI 48161
26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500
4100 Park Forest Dr
Traverse City, MI 49684
Phone (231) 392-8900
1105 Sixth St
Traverse City, MI 49684
Phone (231) 922-9000
1105 Sixth St
Ste 103
Traverse City, MI 49684
Phone (231) 935-6455
1200 Sixth St
Ste 200
Traverse City, MI 49684
Organizations & group practices 15
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.
-
- Anesthesiology Physician
- Cadillac, MI
- NPI 1871991596
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Gaylord, MI
- NPI 1376568865
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Traverse City, MI
- NPI 1710735287
Nurse Anesthetist, Certified Registered
-
- Cardiovascular Disease Physician
- Traverse City, MI
- NPI 1821398322
-
- Certified Registered Nurse Anesthetist
- Monroe, MI
- NPI 1750304622
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Holland, MI
- NPI 1942242136
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Irving, TX
- NPI 1437268026
MI, Nurse Anesthetist, Certified Registered
-
- Psychiatry Physician
- Traverse City, MI
- NPI 1720955081
-
- Anesthesiology Physician
- Gaylord, MI
- NPI 1518982073
-
- Plastic Surgery Physician
- Petoskey, MI
- NPI 1770374530
-
- General Practice Physician
- Gaylord, MI
- NPI 1821064643
-
- Psychiatric Hospital Unit
- Traverse City, MI
- NPI 1891586103
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Traverse City, MI
- NPI 1952307852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1043571789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259493",
"telephone_number": "616-364-4200",
"fax_number": "616-364-7347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259493",
"telephone_number": "616-364-4200",
"fax_number": "616-364-7347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY-KANITZ",
"first_name": "HEATHER",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-05-30",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "MI",
"license": "4704244681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "MONTGOMERY",
"middle_name": "M",
"prefix": "MS.",
"credential": "CRNA",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.