Individual provider Active NPI

Chelsea Elizabeth Montgomery

  • Audiologist
  • Tampa, FL
National Provider Identifier
1205345634
Registry record updated Sep 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
Practice address
14663 Norwood Oaks Dr Apt 202
Tampa, FL 33613-3370
Phone
(954) 778-1505
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X Primary

Addresses

Primary practice location

14663 Norwood Oaks Dr Apt 202
Tampa, FL 33613-3370

Mailing address

14663 Norwood Oaks Dr Apt 202
Tampa, FL 33613-3370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190802002880 OR Practitioner - Qualified Audiologist 6002143732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Audiology Distribution LLCGroup PAC ID 0840459103, 9 clinicians

Practice addresses (Care Compare)

301 NE Franklin Ave
Bend, OR 97701-4917
Phone (541) 389-6669

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Oregon Audiology and Hearing Aid Clinic Audiologist CurrentSince May 29, 2019 Accepting new patients
Audiology Distribution, LLC CurrentSince May 29, 2019 Accepting new patients

Locations

10455 Riverside Dr
West Palm Beach, FL 33410
Phone (800) 323-3277

301 NE Franklin Ave
Bend, OR 97701
Phone (541) 389-6669

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506556800000",
    "number": "1205345634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14663 NORWOOD OAKS DR APT 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14663 NORWOOD OAKS DR APT 202",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133370",
            "telephone_number": "954-778-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "CHELSEA",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2017-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2017; 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.

Verify at the official NPI Registry.