Active NPI
Heather Collins Montgomery, FNP
- Family Nurse Practitioner
- Chattanooga, TN
National Provider Identifier
1629203310
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 14126
- Practice address
- 4501 Amnicola Hwy
Chattanooga, TN 37406-1018 - Phone
- (423) 697-5521
- Fax
- (423) 697-4707
- NPI assigned
- May 25, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 14126 | TN | Primary |
Addresses
Primary practice location
4501 Amnicola Hwy
Chattanooga, TN 37406-1018
Mailing address
4501 Amnicola Highway
Student Center Ste 133
Chattanooga, TN 37406-1782
Phone (423) 697-5521
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130529501F | Medicaid | GA | |
| 1517467 | Medicaid | TN | |
| 2009001637 | Other | ANCC CERTIFICATION |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090730000503 | TN | Practitioner - Nurse Practitioner | 0749333227 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chattanooga State Community College Student Health Clinic | Current | Accepting new patients | |
| Southeastern Emergency Services of Memphis, P.C. | Past | Accepting new patients |
Locations
4501 Amnicola Hwy
Ste 133
Chattanooga, TN 37406
Phone (423) 697-5522
Organizations & group practices 2
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.
-
- Clinic/Center
- Chattanooga, TN
- NPI 1447066089
-
- Emergency Medicine Physician
- Chattanooga, TN
- NPI 1164454450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739145600000",
"number": "1629203310",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4501 AMNICOLA HIGHWAY",
"address_2": "STUDENT CENTER STE 133",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374061782",
"telephone_number": "423-697-5521",
"fax_number": "423-697-4707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4501 AMNICOLA HWY",
"city": "CHATTANOOGA",
"state": "TN",
"postal_code": "374061018",
"telephone_number": "423-697-5521",
"fax_number": "423-697-4707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "HEATHER",
"middle_name": "COLLINS",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-25",
"last_updated": "2025-02-10",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "14126",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "130529501F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1517467",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANCC CERTIFICATION",
"identifier": "2009001637",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chattanooga, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2025; 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.