Active NPI
Kasey Montgomery
- Social Worker
- Saint Peters, MO
National Provider Identifier
1255752481
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 2013034795
- Practice address
- 1286 Jungermann Rd
Ste G
Saint Peters, MO 63376-6967 - Phone
- (815) 440-4758
- NPI assigned
- Dec 13, 2013
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 2013034795 | MO | Primary |
Addresses
Primary practice location
1286 Jungermann Rd
Ste G
Saint Peters, MO 63376-6967
Mailing address
123 Mill Side Dr
Saint Peters, MO 63376-7019
Phone (815) 440-4758
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013034795 | MO | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386892800000",
"number": "1255752481",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 MILL SIDE DR",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633767019",
"telephone_number": "815-440-4758"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1286 JUNGERMANN RD",
"address_2": "STE G",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633766967",
"telephone_number": "815-440-4758"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "KASEY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-13",
"last_updated": "2013-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MO",
"license": "2013034795",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.