Individual provider Active NPI

Brittany Nicole Montgomery, CRNP

  • Adult Health Nurse Practitioner
  • Brentwood, TN
National Provider Identifier
1245571066
Registry record updated Mar 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
22395 Issued in TN
Practice address
1605 Westgate Cir
Box 100
Brentwood, TN 37027-8395
Phone
(615) 678-0024
NPI assigned
Mar 4, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-122149 AL
Adult Health Nurse Practitioner 363LA2200X 22395 TN Primary

Addresses

Primary practice location

1605 Westgate Cir
Box 100
Brentwood, TN 37027-8395

Mailing address

1605 Westgate Cir
Box 100
Brentwood, TN 37027-8395
Phone (615) 678-0024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, TN2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20141120001420 AL Practitioner - Nurse Practitioner 0749427003 Reassigns benefits to 1 organization
I20170420000668 TN Practitioner - Nurse Practitioner 0749427003 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tristar Joint Replacement Institute LLCGroup PAC ID 1658693015, 36 clinicians

Practice addresses (Care Compare)

2400 Patterson St
Suite 100
Nashville, TN 37203-2385
Phone (615) 342-0038

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.74 of 100Reported as group
Quality
80.25
Promoting interoperability
100
Improvement activities
40
Cost
85.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1-122149ALMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tristar Joint Replacement Institute, LLC CurrentSince Sep 10, 2018 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Nov 1, 2014 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

2400 Patterson St
Ste 100
Nashville, TN 37203

Interoperability endpoints

  • Direct secure messaging: brittany.montgomery@hca1.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1362355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490832000000",
    "number": "1245571066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 WESTGATE CIR",
            "address_2": "BOX 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278395",
            "telephone_number": "615-678-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 WESTGATE CIR",
            "address_2": "BOX 100",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370278395",
            "telephone_number": "615-678-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "BRITTANY",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-04",
        "last_updated": "2017-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-122149",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "22395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brentwood, TN

Sources for this page

Verify at the official NPI Registry.