Montgomery County Public Health District

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

MONTGOMERY COUNTY PUBLIC HEALTH DISTRICT

Practice address

1300 S Loop 336 W
Conroe, TX 77304-3316

Phone

(936) 523-5020

Fax

(936) 523-5193

NPI assigned

Sep 6, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Randy Edwin Johnson

Title

Executive Director

Phone

(936) 523-5113

Specialties & licenses 3

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Travis Odom

  • Basic Emergency Medical Technician
  • Conroe, TX
  • NPI 1659190106
  NPD (past)
• Wanda Santini Tierno, FNP-BC

  • Family Nurse Practitioner
  • Porter, TX
  • NPI 1114123189

  Registered Nurse

  NPD (past)

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353888000000",
    "number": "1275882128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 S LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043317",
            "telephone_number": "936-523-5000",
            "fax_number": "936-523-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 S LOOP 336 W",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773043316",
            "telephone_number": "936-523-5020",
            "fax_number": "936-523-5193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY COUNTY PUBLIC HEALTH DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2012-11-26",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "EDWIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "936-523-5113",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montgomery County Cardiovascular Associates PA
• Montgomery County Hospital District
• Montgomery County Hospital District
• Montgomery County Lung Clinic, P.a. (None)
• Montgomery County Periodontal Associates PC
• Montgomery Orthopedic Care Specialists PLLC
• Charlotte Carey Montgomery, LPC
• Laura Kemp Montgomery
• Whitney Lane Montgomery, PA-C
• Ella Moody

• Registered Nurse in Conroe, TX
• Providers in Conroe, TX by specialty
• Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.