Asia Montgomery
Individual provider Active NPI Community Health Worker · Waterbury, CT
NPI 1457030835 · NPPES record last updated Jul 13, 2023
Key facts
- NPI
- 1457030835
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Worker 172V00000X
- Practice address
- 141 E Main St
Waterbury, CT 06702-2310 - Phone
- (203) 580-4298
- NPI assigned
- Jul 13, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Yes |
Addresses
Primary practice location
141 E Main St
Waterbury, CT 06702-2310
Mailing address
141 E Main St
Waterbury, CT 06702-2310
Other providers in Waterbury, CT
- Nancy S Monocchi
- Sarah Marie Montavon
- Kimberly Bella Montefusco
- Michael Montefusco
- Nicole Montello
- Lorenzo Montgomery
- Holly Montpelier
- Penny Monty-Carbonari
- Caleb Moore
- Chrystal D Moore
All providers in Waterbury, CT · Community Health Worker in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.