Miriam K Montgomery, RN, CFCN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

476781 Issued in CA

Practice address

46860 Isaak Rd
Apt. a
Soldotna, AK 99669

Phone

(907) 741-1764

NPI assigned

Oct 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• Miriam K Montgomery Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1124628466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15202 HESTA ST",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642612",
            "telephone_number": "858-481-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46860 ISAAK RD",
            "address_2": "APT. A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "99669",
            "telephone_number": "907-741-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MIRIAM",
        "middle_name": "K",
        "credential": "RN, CFCN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "NURR23525",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "476781",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "724560",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIRIAM",
            "last_name": "MONTGOMERY",
            "middle_name": "K",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Kristin Mildred Mitchell
• Scott Mitchell
• Danna Mavis Constance Moisii, PA-C
• Theodore Wyatt Mole, L. P. C.
• Rachael Montague
• Heather Nancy Moon, ARNP
• Garret N Moore
• Julie Ann Moore
• M Justin Moore, DMD MS
• Rachael Eileen Moore

• Registered Nurse in Soldotna, AK
• Providers in Soldotna, AK by specialty
• Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; 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.