Active NPI
Elizabeth Kim Montgomery, AU.D., CCC-A
- Audiologist
- Slidell, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 3610
- Practice address
- 2050 Gause Blvd E Ste 200
Slidell, LA 70461-5425 - Phone
- (985) 646-4400
- Fax
- (985) 646-4408
- NPI assigned
- Jun 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | 3610 | LA | |
| Audiologist | 231H00000X | 3610 | LA | Primary |
Addresses
Primary practice location
2050 Gause Blvd E Ste 200
Slidell, LA 70461-5425
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (985) 646-4400
Other practice location 1
1111 Medical Center Blvd Ste S630
Marrero, LA 70072-3194
Phone (504) 340-6976
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2050 Gause Blvd E
Suite 200
Slidell, LA 70461-5425
Phone (225) 647-6636
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3610 | LA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of the Lake Physician Group, LLC | Current | Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Current | Accepting new patients | |
| Culicchia Neurological Clinic, LLC | Current | Accepting new patients | |
| Our Lady of the Lake Physician Group LLC | Current | Accepting new patients | |
| Our Lake of the Lake Head and Neck Ce | Past | Accepting new patients |
Locations
7777 Hennessy Blvd
Ste 409
Baton Rouge, LA 70808
Phone (225) 765-1765
7777 Hennessy Blvd
Ste 709
Baton Rouge, LA 70808
Phone (225) 765-7735
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816
Phone (225) 526-0011
804 Heavens Dr
Ste 101
Mandeville, LA 70471
Phone (985) 201-5550
1111 Medical Center Blvd
Ste S630
Marrero, LA 70072
Phone (504) 349-6336
1111 Medical Center Blvd
Ste S750
Marrero, LA 70072
502 Leontine St
New Orleans, LA 70115
Phone (504) 934-8321
2050 Gause Blvd E
Ste 200
Slidell, LA 70461
Phone (504) 646-4400
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Baton Rouge, LA
- NPI 1033494943
-
- Specialist
- Marrero, LA
- NPI 1376669952
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Baton Rouge, LA
- NPI 1235912502
-
- Urgent Care Clinic/Center
- Baton Rouge, LA
- NPI 1588062079
-
- Specialist
- Baton Rouge, LA
- NPI 1619919271
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746403200000",
"number": "1174782015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "985-646-4400",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2050 GAUSE BLVD E STE 200",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704615425",
"telephone_number": "985-646-4400",
"fax_number": "985-646-4408"
}
],
"practiceLocations": [
{
"address_1": "1111 Medical Center Blvd Ste S630",
"address_purpose": "LOCATION",
"city": "Marrero",
"state": "LA",
"postal_code": "700723194",
"country_code": "US",
"telephone_number": "504-340-6976",
"fax_number": "504-349-6786",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "ELIZABETH",
"middle_name": "KIM",
"credential": "AU.D., CCC-A",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-05",
"last_updated": "2025-05-05",
"certification_date": "2025-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "LA",
"license": "3610",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "LA",
"license": "3610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.