Alexandria Montgomery, MA

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

8419 S Cottage Grove Ave
Chicago, IL 60619

Phone

(312) 885-4621

NPI assigned

Dec 4, 2018

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1528538451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 E 84TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606199513",
            "telephone_number": "312-885-4621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8419 S COTTAGE GROVE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60619",
            "telephone_number": "312-885-4621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8419 S Cottage Grove Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60619",
            "country_code": "US",
            "telephone_number": "312-885-4621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ALEXANDRIA",
        "credential": "MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-12-04",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699078766",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bernadette Montez
• Montgomery Counseling & Wellness PLLC
• Tanya Montgomery Nee Brown
• Montgomery Place
• Montgomery Place
• Amanda Montgomery, RD, LDN, MPH
• Ashley Montgomery, DO
• Bridget Montgomery, LCPC
• Bridget Montgomery, LCPC
• Deborah Ann Montgomery, DDS

• Case Manager/Care Coordinator in Chicago, IL
• Providers in Chicago, IL by specialty
• Case Manager/Care Coordinator in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.