Jo Anne Montgomery, ARNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

AP30002201 Issued in WA

Practice address

2608 Kwina Rd
Bellingham, WA 98226-9291

Phone

(360) 384-0464

NPI assigned

Mar 27, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Lummi Indian Business Council

  dba Lummi Nation Health Center

  • Clinic/Center
  • Bellingham, WA
  • NPI 1669592374
  Medicare reassignment NPD
• Lummi Indian Business Council

  dba Lummi Nation Health Center

  • Counselor
  • Bellingham, WA
  • NPI 1225158769
  NPD

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

{
    "created_epoch": "1174953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1487773123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2608 KWINA RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2608 KWINA RD",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982269291",
            "telephone_number": "360-384-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "JO",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-27",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "WA",
            "license": "AP30002201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WA STATE MEDICAID #",
            "identifier": "9605221",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monroe Healing Therapies
• Molly Nicole Monsees, ARNP
• Susan Montague, OTR/L
• Barbara Montfort
• Jill Marie Montgomery, LMP
• Rosemary Montgomery
• Carlos Enrique Montiel Hurtado, MD
• Kaitlynn Ruth Moody
• Lisa Marie Moody, MASS.MA.61140953
• Thomas F Mooney, LMT

• Pediatric Nurse Practitioner in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Pediatric Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.

Verify at the official NPI Registry.