Rebecca Lynne Montgomery

Primary specialty

Voluntary or Charitable AgencyTaxonomy code 251V00000X

License

PT32273 Issued in FL

Practice address

1722 E Marks St
Orlando, FL 32803-4242

Phone

(620) 340-5258

NPI assigned

Feb 22, 2017

Last updated

Mar 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488758400000",
    "number": "1083153027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 E MARKS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034242",
            "telephone_number": "620-340-5258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 E MARKS ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328034242",
            "telephone_number": "620-340-5258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "REBECCA",
        "middle_name": "LYNNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2017-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "FL",
            "license": "PT32273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880020100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany A Montgomery
• Emily Rae Montgomery, APRN
• Jacqueline Montgomery
• Juawana Montgomery
• Karon M Montgomery, LMHC, CJSOTS, MAC
• Rosalyn Nicole Montgomery, PMHNP-BC
• Christina Monti, CRNA
• Milagros Montiel Buckley
• Melissa Alejandra Montiel
• Jaime Luis Montilla-Soler, M.D.

• Voluntary or Charitable Agency in Orlando, FL
• Providers in Orlando, FL by specialty
• Voluntary or Charitable Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2017; 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.