Erin Elizabeth Montgomery

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1216589 Issued in TX

Practice address

4514 Cornell St Ste B
Amarillo, TX 79109-5801

Phone

(806) 322-0747

Fax

(806) 322-0093

NPI assigned

Oct 30, 2025

Last updated

Oct 30, 2025By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivr Rejuvenation Station, LLC

  dba IVRS Wellness Center- (IV Rejuvenation Station, LLC)

  • Family Medicine Physician
  • Amarillo, TX
  • NPI 1619757671
  NPD Authorized official

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

{
    "created_epoch": "1761782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761782400000",
    "number": "1083583900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4514 CORNELL ST STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095801",
            "telephone_number": "806-322-0747",
            "fax_number": "806-322-0093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4514 CORNELL ST STE B",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791095801",
            "telephone_number": "806-322-0747",
            "fax_number": "806-322-0093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ERIN",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-30",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "1216589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Haley Monfort, APRN
• Virginia L Monk, LPC
• Tenisha Montague
• Alejandra Montanez
• Devon Shenae Montgomery, NP-C
• Kilee Montgomery, CRNA
• Mary Lou Montgomery, M.D.
• Casandra Darlin Montoya, LPC ASSOCIATE
• Mercedes Moomaw
• Melissa Moon, DPT

• Family Medicine Physician in Amarillo, TX
• Providers in Amarillo, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; 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.