Individual provider Active NPI

Anabelle Rose Montague, FNP-C

  • Family Nurse Practitioner
  • Carrollton, TX
National Provider Identifier
1053296012
Registry record updated Aug 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1022480 Issued in TX
Practice address
2233 Washington Dr
Carrollton, TX 75010-4307
Phone
(469) 386-0669
NPI assigned
Aug 8, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 1022480 TX
Adult Health Nurse Practitioner 363LA2200X 1022480 TX
Family Nurse Practitioner 363LF0000X 1022480 TX Primary

Addresses

Primary practice location

2233 Washington Dr
Carrollton, TX 75010-4307

Mailing address

2233 Washington Dr
Carrollton, TX 75010-4307
Phone (469) 386-0669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251204001039 TX Practitioner - Nurse Practitioner 4385137710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

117 Gemini Cir
Suite 404
Homewood, AL 35209-5850

PO Box
Suite 92
Shannon, AL 35142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1022480TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Renal Specialists of North Texas PLLC CurrentSince Nov 15, 2025 Accepting new patients

Locations

3125 Matlock Rd
Ste 107
Arlington, TX 76015
Phone (817) 899-8109

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAEGBD

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1754611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754611200000",
    "number": "1053296012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2233 WASHINGTON DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104307",
            "telephone_number": "469-386-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 WASHINGTON DR",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104307",
            "telephone_number": "469-386-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAGUE",
        "first_name": "ANABELLE",
        "middle_name": "ROSE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-08",
        "last_updated": "2025-08-08",
        "certification_date": "2025-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TX",
            "license": "1022480",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "1022480",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1022480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carrollton, TX

Sources for this page

Verify at the official NPI Registry.