Active NPI
Rose Montgomery, M.S., CCC, P.C.
- Hearing and Speech Clinic/Center
- Albuquerque, NM
National Provider Identifier
1215265491
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing and Speech Clinic/Center
- License
- 140
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164520409 | Other | NM | INDIVIDUAL NPI NUMBER |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Speech-Language Pathologist
- Albuquerque, NM
- NPI 1164520409
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.