Jewel B Montgomery, RN

Primary specialty

Medical-Surgical Registered NurseTaxonomy code 163WM0705X

License

RN100039 Issued in GA

Practice address

859 Ector Chase NW
Kennesaw, GA 30152-4788

Phone

(770) 427-5114

Fax

(770) 427-6396

NPI assigned

Jan 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Jewel B Montgomery Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Brighter Times Home Care Inc

  • In Home Supportive Care Agency
  • Kennesaw, GA
  • NPI 1730773573
  NPD Authorized official
• Surgical 1St, Inc.

  • Medical-Surgical Registered Nurse
  • Kennesaw, GA
  • NPI 1306895362
  NPD (past) Authorized official

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1417004086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3235",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300613235",
            "telephone_number": "770-427-5114",
            "fax_number": "770-427-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "859 ECTOR CHASE NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301524788",
            "telephone_number": "770-427-5114",
            "fax_number": "770-427-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "JEWEL",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "GA",
            "license": "RN100039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEWEL",
            "last_name": "MONTGOMERY",
            "middle_name": "B",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jessica Monahan, PT, DPT
• David Mondecar
• Kerri C Monfalcone, M.A., CCC-SLP
• Anabelle Monroe, MD
• Jason Montegna, PHARMD
• Fidel Montiel
• Karl James Moo Young, D.O.
• Jenny Lynn Moore, PT
• Katherine E Moore, LCSW
• Katie Bozeman Moore, PHARMD

• Medical-Surgical Registered Nurse in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Medical-Surgical Registered Nurse in Georgia

• 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.