Theresa Montgomery Tyrie, ARNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

ARNP9293072 Issued in FL

Practice address

2021 N Crooked Branch Dr
Lecanto, FL 34461-9453

Phone

(352) 436-4428

NPI assigned

Sep 7, 2018

Last updated

Sep 7, 2018By 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

Other names 1

• Miss Theresa Renae Montgomery Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEHECD

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.

• Padala Family Practice, PLLC

  • Family Medicine Physician
  • Lecanto, FL
  • NPI 1447505227
  Medicare reassignment NPD
• Sun MD PLLC

  • Family Medicine Physician
  • Lecanto, FL
  • NPI 1235731522
  Medicare reassignment
• Medfleet LLC

  • Land Ambulance
  • Hudson, FL
  • NPI 1336789304
  NPD (past)

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

{
    "created_epoch": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536278400000",
    "number": "1649753468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 N CROOKED BRANCH DR",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 N CROOKED BRANCH DR",
            "city": "LECANTO",
            "state": "FL",
            "postal_code": "344619453",
            "telephone_number": "352-436-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYRIE",
        "first_name": "THERESA",
        "middle_name": "MONTGOMERY",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2018-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP9293072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "MONTGOMERY",
            "middle_name": "RENAE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mary Melissa Touchton, ARNP
• Tricia Vu Tran, PA-C
• Michelle Turton, APRN
• Norman Tuvell, MS, CCC SLP
• Thomas Tybeck, LMHC
• V Upender Rao MD PA (Cancer & Blood Disease Center)
• Walton L Vanhoose, DMD
• Clarena Veldwijk, OTR/L
• Kendel Vickers, PA-C
• Vladimir J Vlcko, DO

• Adult Health Nurse Practitioner in Lecanto, FL
• Providers in Lecanto, FL by specialty
• Adult Health Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2018; 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.