Emily Montaigne

Primary specialty

Pediatric Emergency Medicine (Emergency Medicine) PhysicianTaxonomy code 207PP0204X

License

0024171833 Issued in VA

Practice address

4687 Pouncey Tract Rd
Glen Allen, VA 23059-5802

Phone

(804) 422-5438

NPI assigned

Jul 15, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647388800000",
    "number": "1174930705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13284 ELMONT RD",
            "city": "ASHLAND",
            "state": "VA",
            "postal_code": "230057555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4687 POUNCEY TRACT RD",
            "city": "GLEN ALLEN",
            "state": "VA",
            "postal_code": "230595802",
            "telephone_number": "804-422-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTAIGNE",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-15",
        "last_updated": "2022-03-16",
        "certification_date": "2022-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "VA",
            "license": "L-301762",
            "primary": false
        },
        {
            "code": "174N00000X",
            "taxonomy_group": "",
            "desc": "Lactation Consultant, Non-RN",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207PP0204X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Pediatric Emergency Medicine",
            "state": "VA",
            "license": "0024171833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie A Mock, CPHT
• Mohammad S Siddiqui MD Inc
• Karolina Mohler, APRN
• Ali A Mollah, M.D.
• Heba Momin, PT
• Melissa Montgomery
• Nicolette Staton Moon, LCSW
• Whitney Jade Powell Mooney, MS CCC-SLP
• Alexandra Moore, LPC
• Emilene Moore, RD

• Pediatric Emergency Medicine (Emergency Medicine) Physician in Glen Allen, VA
• Providers in Glen Allen, VA by specialty
• Pediatric Emergency Medicine (Emergency Medicine) Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; 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.