Mackenzi Montoya

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

1-196599 Issued in AL

Practice address

8263 Madison Blvd Ste E
Madison, AL 35758-2051

Phone

(256) 533-6488

NPI assigned

May 20, 2026

Sex

Unspecified or another gender identity

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

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.

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

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.

• The Center for Colon and Digestive Disease P C

  • Internal Medicine Physician
  • Huntsville, AL
  • NPI 1104865021
  NPD
• Heca, LLC

  • Certified Registered Nurse Anesthetist
  • Huntsville, AL
  • NPI 1336683135
  NPD (past)

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

{
    "created_epoch": "1779235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1073443115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 LONGWOOD DR SW",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8263 MADISON BLVD STE E",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582051",
            "telephone_number": "256-533-6488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTOYA",
        "first_name": "MACKENZI",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-05-20",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "AL",
            "license": "1-196599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monrovia Family Pharmacy
• Shelly Kristin Montalvo, CRNP
• Brendella Turnbow Montgomery, M.D.
• Charles Montgomery, LPC
• Morgan Montgomery
• Patricia Gissendanner Moody, M.D.
• Ashley Michelle Moore
• Deaunway Moore
• Klaire Phillips Moore, DPT
• Ronald Eric Moore, D.C.

• Gerontology Nurse Practitioner in Madison, AL
• Providers in Madison, AL by specialty
• Gerontology Nurse Practitioner in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.

Verify at the official NPI Registry.