Active NPI
Alexandria Nicole Montgomery, DNP
- Advanced Practice Midwife
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 552
- Practice address
- 1718 E 4TH St Ste 907
Charlotte, NC 28204-3282 - Phone
- (043) 724-0007
- Fax
- (704) 334-4855
- NPI assigned
- Nov 3, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 202276 | NC | |
| Women's Health Nurse Practitioner | 363LW0102X | 5006564 | NC | |
| Advanced Practice Midwife | 367A00000X | 552 | NC | Primary |
Addresses
Primary practice location
1718 E 4TH St Ste 907
Charlotte, NC 28204-3282
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 372-4000
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amontgomery194433@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 202276 | NC | MD | Registered Nurse |
| 552 | NC | MD | Foot & Ankle Surgery Podiatrist |
| 5006564 | NC | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients |
Locations
1718 E 4th St
Ste 907
Charlotte, NC 28204
Phone (704) 372-4000
911 W Henderson St
Ste 300
Salisbury, NC 28144
Phone (704) 636-9270
Interoperability endpoints
- amontgomery194433@direct.novanthealth.org
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 and National Provider Directory roles.
-
dba Novant Health Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health South Lake OB/GYN
- Obstetrics & Gynecology Physician
- Concord, NC
- NPI 1962969774
-
dba Novant Health Orthopedics & Sports Medicine
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1972737195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603584000000",
"number": "1366695496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "704-372-4000",
"fax_number": "704-334-4855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1718 E 4TH ST STE 907",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282043282",
"telephone_number": "043-724-0007",
"fax_number": "704-334-4855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "ALEXANDRIA",
"middle_name": "NICOLE",
"name_prefix": "Dr.",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-03",
"last_updated": "2020-10-25",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NC",
"license": "202276",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NC",
"license": "5006564",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NC",
"license": "552",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amontgomery194433@direct.novanthealth.org",
"affiliation": "N",
"address_1": "1718 E 4th St Ste 907",
"city": "Charlotte",
"state": "NC",
"country_code": "US",
"postal_code": "282043282",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.