Individual provider Active NPI

Diane Frances Montgomery, PHD CPNP

  • Pediatric Nurse Practitioner
  • Houston, TX
National Provider Identifier
1275783771
Registry record updated Sep 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
433044 Issued in TX
Practice address
6300 Chimney Rock Rd
Houston, TX 77081-4502
Phone
(713) 295-2570
Fax
(713) 295-2582
NPI assigned
Sep 22, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 433044 TX Primary

Addresses

Primary practice location

6300 Chimney Rock Rd
Houston, TX 77081-4502

Mailing address

6300 Chimney Rock Rd
Houston, TX 77081-4502
Phone (713) 295-2570

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
Credentials
Certified Pediatric Nurse Practitioner, Nurse Practitioner, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
433044TXMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: dmontgomery11737@direct.uth.org

NPI Registry JSON

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

{
    "created_epoch": "1222041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222041600000",
    "number": "1275783771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 CHIMNEY ROCK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814502",
            "telephone_number": "713-295-2570",
            "fax_number": "713-295-2582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 CHIMNEY ROCK RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814502",
            "telephone_number": "713-295-2570",
            "fax_number": "713-295-2582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "DIANE",
        "middle_name": "FRANCES",
        "name_prefix": "Mrs.",
        "credential": "PHD CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-22",
        "last_updated": "2008-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "433044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2008; 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.