Active NPI
Olivia Montgomery, RN
- Registered Nurse
- Wichita, KS
National Provider Identifier
1215808001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 1634933
- Practice address
- 3600 E Harry St
Wichita, KS 67218-3713 - Phone
- (316) 265-5000
- NPI assigned
- Sep 15, 2025
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 131488 | KS | |
| Registered Nurse | 163W00000X | 1634933 | CO | Primary |
Addresses
Primary practice location
3600 E Harry St
Wichita, KS 67218-3713
Mailing address
3600 E Harry St
Wichita, KS 67218-3713
Other practice location 1
1701 E 23rd Ave
Hutchinson, KS 67502-9907
Phone (620) 524-0799
Other names 1
- Olivia Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1634933 | CO | MD | Registered Nurse |
| 131488 | KS | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1215808001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 E HARRY ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672183713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 E HARRY ST",
"city": "WICHITA",
"state": "KS",
"postal_code": "672183713",
"telephone_number": "316-265-5000"
}
],
"practiceLocations": [
{
"address_1": "1701 E 23rd Ave",
"address_purpose": "LOCATION",
"city": "Hutchinson",
"state": "KS",
"postal_code": "675029907",
"country_code": "US",
"telephone_number": "620-524-0799",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "OLIVIA",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-09-15",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KS",
"license": "131488",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CO",
"license": "1634933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLIVIA",
"last_name": "WILLIAMS",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.