Active NPI
La Shanda Montgomery, MSN, RN, FNP-C
- Family Nurse Practitioner
- Mansfield, TX
National Provider Identifier
1396147583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP126363
- Practice address
- 980 Hwy N. 287
Mansfield, TX 76063 - Phone
- (817) 912-8565
- NPI assigned
- Sep 19, 2014
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP126363 | TX | Primary |
Addresses
Primary practice location
980 Hwy N. 287
Mansfield, TX 76063
Mailing address
980 Hwy N 287
Mansfield, TX 76063
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP126363 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493251200000",
"number": "1396147583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "980 HWY N 287",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "76063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "980 HWY N. 287",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "76063",
"telephone_number": "817-912-8565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "LA SHANDA",
"credential": "MSN, RN, FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-19",
"last_updated": "2017-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP126363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.