Montez Gorrell-Goode, FNP

Primary specialty

Critical Care Medicine Registered NurseTaxonomy code 163WC0200X

License

R109708 Issued in MD

Practice address

3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501

Phone

(210) 386-7506

NPI assigned

Apr 17, 2007

Sex

Female

Sole proprietor

Yes

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)

Enrolled

State licenses

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346465929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344501",
            "telephone_number": "210-386-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3851 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344501",
            "telephone_number": "210-386-7506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORRELL-GOODE",
        "first_name": "MONTEZ",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "MD",
            "license": "R109708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alhambro Javier Gordon, PHYSICIAN ASSISTANT
• Jill M Gore, PA-C
• Marina V. Gore, MD
• Rosco Steven Gore Jr., M.D.
• Jonathan Meister Gorog Jr., DO
• Jessica Lynn Gottula, MD
• Courtney Marie Gourley, PA-C
• Larry Lee Grabhorn, M.D.
• Jaclyn Grad, PH.D.
• Donna Graf, LCSW

• Critical Care Medicine Registered Nurse in Fort Sam Houston, TX
• Providers in Fort Sam Houston, TX by specialty
• Critical Care Medicine Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.