Susan Montgomery

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

RN193672 Issued in OH

Practice address

921 Mystic LN
Troy, OH 45373-2254

Phone

(937) 332-3860

Fax

(937) 332-3980

NPI assigned

Feb 5, 2015

Last updated

Feb 5, 2015By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1423094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423094400000",
    "number": "1619368198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 MYSTIC LN",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 MYSTIC LN",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453732254",
            "telephone_number": "937-332-3860",
            "fax_number": "937-332-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-05",
        "last_updated": "2015-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "OH",
            "license": "RN193672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Lynne Misirian
• Konrad Modschiedler
• Mohan R Nuthakki MD & Assoc Inc
• Diane Lynn Mohler
• Kelly Marie Monnin, P.T.A.
• Jim T Moore, MS, NCC, LPC
• Sharon Grace Morgan, M.C. CCC-SLP
• Susan L Morgan, PC
• Timothy Allen Morton, MD
• Alison Moyer, AT

• School Registered Nurse in Troy, OH
• Providers in Troy, OH by specialty
• School Registered Nurse in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.