Active NPI
Glynda Hardy Montgomery, RD, LDN
- Registered Dietitian
- Memphis, TN
National Provider Identifier
1225040264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0531
- Practice address
- 1056 E Raines Rd
Memphis, TN 38116-6337 - Phone
- (901) 271-4900
- Fax
- (901) 271-4911
- NPI assigned
- Aug 11, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 0531 | TN | Primary |
Addresses
Primary practice location
1056 E Raines Rd
Memphis, TN 38116-6337
Mailing address
1056 E Raines Rd
Memphis, TN 38116-6337
Phone (901) 271-4900
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0531 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225040264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1056 E RAINES RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381166337",
"telephone_number": "901-271-4900",
"fax_number": "901-271-4911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1056 E RAINES RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381166337",
"telephone_number": "901-271-4900",
"fax_number": "901-271-4911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "GLYNDA",
"middle_name": "HARDY",
"credential": "RD, LDN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-08-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "TN",
"license": "0531",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
- Jennifer Jill Monteil
- Montera Health Tennessee LLC
- Montera Health Tennessee LLC
- Morgan Tynes Monteverde, M.A., CCC-SLP
- Christiana Vanzant Montgomery, O.D.
- Kiva Montgomery, B.S.W.
- Melissa Keeton Montgomery, PHARM.D.
- Ronald James Montgomery, DPT
- Van Alexander Montgomery, M.D.
- Virginia Kaitlin Montoya, MS, NCC, LPC-MHSP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.