Active NPI
Holly Montgomery, MSN, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Omaha, NE
National Provider Identifier
1346002151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 115182
- Practice address
- 15808 W Dodge Rd Ste 200
Omaha, NE 68118-2050 - Phone
- (402) 364-1825
- Fax
- (402) 364-1826
- NPI assigned
- Jan 26, 2024
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 115182 | NE | Primary |
Addresses
Primary practice location
15808 W Dodge Rd Ste 200
Omaha, NE 68118-2050
Mailing address
15808 W Dodge Rd Ste 200
Omaha, NE 68118-2050
Phone (402) 364-1825
Other practice location 1
11404 W Dodge Rd Ste 300
Omaha, NE 68154-9603
Phone (140) 289-8111
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)
- Not enrolled
- Credentials
- Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115182 | NE | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Align Mental Health LLC | Psychiatric/Mental Health | Current | Accepting new patients |
Locations
15808 W Dodge Rd
Ste 200
Omaha, NE 68118
Phone (402) 364-1825
Interoperability endpoints
- holly.montgomery.1@19923.direct.athenahealth.com
Organizations & group practices 1
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Omaha, NE
- NPI 1093684342
Psychiatric/Mental Health
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776038400000",
"number": "1346002151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15808 W DODGE RD STE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182050",
"telephone_number": "402-364-1825",
"fax_number": "402-364-1826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15808 W DODGE RD STE 200",
"city": "OMAHA",
"state": "NE",
"postal_code": "681182050",
"telephone_number": "402-364-1825",
"fax_number": "402-364-1826"
}
],
"practiceLocations": [
{
"address_1": "11404 W Dodge Rd Ste 300",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681549603",
"country_code": "US",
"telephone_number": "140-289-8111",
"fax_number": "402-819-5588",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "HOLLY",
"credential": "MSN, APRN, PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-01-26",
"last_updated": "2026-04-13",
"certification_date": "2026-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "NE",
"license": "115182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Omaha, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.