Montgomery Nutritional Consulting, LLC

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

925937 Issued in AZ

Legal business name

MONTGOMERY NUTRITIONAL CONSULTING, LLC

Practice address

6624 W Eagle Talon TRL
Phoenix, AZ 85083-7541

Phone

(623) 256-8380

NPI assigned

Aug 1, 2012

Organization subpart

No

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

Authorized official

Name

Tricia Dawn Montgomery, R.D.

Title

Owner

Phone

(623) 256-8380

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1343779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343779200000",
    "number": "1386990935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6624 W EAGLE TALON TRL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850837541",
            "telephone_number": "623-256-8380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6624 W EAGLE TALON TRL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850837541",
            "telephone_number": "623-256-8380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTGOMERY NUTRITIONAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-01",
        "last_updated": "2012-08-01",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "TRICIA",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-256-8380",
        "authorized_official_credential": "R.D."
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "AZ",
            "license": "925937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramon G. Montes, M.D.
• Samuel Montes
• Socorro Gabriela Montes, DPM
• Lynn Marie Montez, FNP-C
• Nicol Montez, NURSE PRACTITIONER
• Brian Montgomery
• Catherine Hackett Montgomery, FNP
• Donna Mia Montgomery, MPH,OTR
• Easton Montgomery, DO
• Melanie Montgomery

• Registered Dietitian in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Registered Dietitian in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2012; 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.