Samuel Druce Montmorency

Primary specialty

Basic Emergency Medical TechnicianTaxonomy code 146N00000X

License

2019032895 Issued in UT

Practice address

5126 W Daybreak Pkwy
South Jordan, UT 84009-5994

Phone

(801) 213-4500

NPI assigned

Mar 24, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585008000000",
    "number": "1275160947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12482 S RED ELM WAY",
            "city": "RIVERTON",
            "state": "UT",
            "postal_code": "840657193",
            "telephone_number": "801-641-4872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5126 W DAYBREAK PKWY",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840095994",
            "telephone_number": "801-213-4500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTMORENCY",
        "first_name": "SAMUEL",
        "middle_name": "DRUCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2020-03-24",
        "certification_date": "2020-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "UT",
            "license": "2019032895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Omama Mohammed Akbar
• Jennifer Monsen, SCMT, MT-BC
• Lanora Montag, PHARM D
• Isabella Montejo Velasco
• Montera Health Utah LLC
• Grace Ellen Moore, RDN
• Jennifer Moore, AGACNP-BC, DNP
• Caio Moraes Rego
• Deborah Elizabeth Morgan, DNP, APRN, PMHNP-BC
• Makenna Aleece Morgan, LCSW

• Basic Emergency Medical Technician in South Jordan, UT
• Providers in South Jordan, UT by specialty
• Basic Emergency Medical Technician in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.