Alysha Mauldin Montgomery, M.S.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

2044 Issued in AL

Practice address

212 4TH Ave SE Ste 100
Cullman, AL 35055-3662

Phone

(256) 735-1727

Fax

(256) 735-1211

NPI assigned

Feb 22, 2007

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1164557062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 COUNTY ROAD 392",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350574088",
            "telephone_number": "256-734-8158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 4TH AVE SE STE 100",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350553662",
            "telephone_number": "256-735-1727",
            "fax_number": "256-735-1211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ALYSHA",
        "middle_name": "MAULDIN",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AL",
            "license": "2044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AL",
            "identifier": "51509017",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nancy Lynn Mitchell, APRN FNP-BC
• Heaven Lei Mixon
• Teri L Mobley, CRNP
• Hasan Mohiuddin, MD
• Philip C Mongan, LCSW
• Thomas W Montgomery, M.D.
• Brad Robert Moody, M.D.
• Aubrey Moore
• Candice Moore
• Joyce M Moore, RN

• Speech-Language Pathologist in Cullman, AL
• Providers in Cullman, AL by specialty
• Speech-Language Pathologist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.