Organization Active NPI

Rose Montgomery, M.S., CCC, P.C.

  • Hearing and Speech Clinic/Center
  • Albuquerque, NM
National Provider Identifier
1215265491
Registry record updated Nov 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing and Speech Clinic/CenterTaxonomy code 261QH0700X
License
140 Issued in NM
Legal business name
ROSE MONTGOMERY, M.S., CCC, P.C.
Practice address
1420 Carlisle Blvd NE
St. 201-E
Albuquerque, NM 87110-5660
Phone
(505) 255-6141
Fax
(505) 262-1903
NPI assigned
Nov 25, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2009

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

Authorized official

Name
Ms. Rose Ines Montgomery, M.S.NPI 1164520409
Title
Speech/Language Pathologist
Phone
(505) 268-5098

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing and Speech Clinic/Center 261QH0700X 140 NM Primary

Addresses

Primary practice location

1420 Carlisle Blvd NE
St. 201-E
Albuquerque, NM 87110-5660

Mailing address

4708 Hannett Ave NE
Albuquerque, NM 87110-5016
Phone (505) 268-5098

Other identifiers 1

IdentifierTypeStateIssuer
1164520409OtherNMINDIVIDUAL NPI NUMBER

National Provider Directory

National Provider Directory

Locations

1420 Carlisle Blvd NE
Ste 201E
Albuquerque, NM 87110
Phone (505) 255-6141

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259107200000",
    "number": "1215265491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 HANNETT AVE NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105016",
            "telephone_number": "505-268-5098",
            "fax_number": "505-262-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 CARLISLE BLVD NE",
            "address_2": "ST. 201-E",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871105660",
            "telephone_number": "505-255-6141",
            "fax_number": "505-262-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE MONTGOMERY, M.S., CCC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2009-11-25",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "ROSE",
        "authorized_official_middle_name": "INES",
        "authorized_official_title_or_position": "SPEECH/LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "505-268-5098",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S."
    },
    "taxonomies": [
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": "NM",
            "license": "140",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI NUMBER",
            "identifier": "1164520409",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2009; 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.