Individual provider Active NPI

Barbara Montgomery, FNP

  • Family Nurse Practitioner
  • Dresden, TN
National Provider Identifier
1346658663
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
18952 Issued in TN
Practice address
8598 Highway 22
Dresden, TN 38225-2308
Phone
(731) 588-4000
NPI assigned
Jul 30, 2014
Last updated
Apr 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010393 KY
Family Nurse Practitioner 363LF0000X 18952 TN Primary

Addresses

Primary practice location

8598 Highway 22
Dresden, TN 38225-2308

Mailing address

8598 Highway 22 Ste 390
Dresden, TN 38225-2308
Phone (731) 588-4000

Other identifiers 1

IdentifierTypeStateIssuer
Q007962MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140916002147 TN Practitioner - Nurse Practitioner 7113146655 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

5736 Manchester Hwy
Morrison, TN 37357-7503
Phone (931) 815-3871

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18952TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Aug 1, 2014 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 1, 2015 Accepting new patients
Generations Health Association, Inc. CurrentSince Jun 17, 2019 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Dec 1, 2015 Accepting new patients

Locations

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

8598 Highway 22
Dresden, TN 38225
Phone (731) 364-5675

8598 Highway 22
Ste 390
Dresden, TN 38225

5736 Manchester Hwy
Morrison, TN 37357
Phone (931) 815-3871

87 Generations Dr
Spencer, TN 38585
Phone (423) 305-4712

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1346658663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8598 HIGHWAY 22 STE 390",
            "city": "DRESDEN",
            "state": "TN",
            "postal_code": "382252308",
            "telephone_number": "731-588-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8598 HIGHWAY 22",
            "city": "DRESDEN",
            "state": "TN",
            "postal_code": "382252308",
            "telephone_number": "731-588-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "BARBARA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010393",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "18952",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q007962",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dresden, TN

Sources for this page

Verify at the official NPI Registry.