Individual provider Active NPI

Elizabeth Kratz Montgomery, ARNP

  • Family Nurse Practitioner
  • Seattle, WA
National Provider Identifier
1679684161
Registry record updated Nov 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30007290 Issued in WA
Practice address
3400 California Ave SW
Seattle, WA 98116
Phone
(206) 320-3399
Fax
(206) 320-5506
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP30007290 WA
Registered Nurse 163W00000X RN00163398 WA
Family Nurse Practitioner 363LF0000X AP30007290 WA Primary

Addresses

Primary practice location

3400 California Ave SW
Seattle, WA 98116

Mailing address

PO Box 25608
Salt Lake City, UT 84125-0608
Phone (206) 320-4476

Other practice location 1

4100 SW Alaska St Ste B
Seattle, WA 98116-4527
Phone (206) 320-3399

Other identifiers 2

IdentifierTypeStateIssuer
1679684161MedicaidWA
9648148MedicaidWA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emontgomery1042570@wm.providencedirect.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20060413000157 WA Practitioner - Nurse Practitioner 5294744629 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Swedish Health ServicesGroup PAC ID 9537072814, 384 clinicians

Practice addresses (Care Compare)

2450 33Rd Ave W
Suite 100
Seattle, WA 98199-3252
Phone (206) 320-3364

4100 SW Alaska St
Suite B
Seattle, WA 98116-4527
Phone (206) 320-3399

4744 41St Ave SW
Seattle, WA 98116-4566

Hospital & facility affiliations

  • Swedish Medical Center / Cherry Hill Hospital, Seattle, WA, CCN 500025
  • Swedish Medical Center Hospital, Seattle, WA, CCN 500027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP30007290WAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Swedish Health Services Registered Nurse Current Accepting new patients
Neighborcare Health Current Accepting new patients
Neighborcare Health CurrentSince Apr 14, 2015 Accepting new patients
Swedish Health Services CurrentSince Jan 7, 2019 Accepting new patients
Swedish Health Services CurrentSince Jan 7, 2019 Accepting new patients

Locations

13020 Meridian Ave S
Everett, WA 98208
Phone (425) 357-3700

6020 35th Ave SW
Seattle, WA 98126
Phone (206) 461-6950

4100 SW Alaska St
#B
Seattle, WA 98116
Phone (206) 320-3399

2450 33rd Ave W
Ste 100
Seattle, WA 98199
Phone (206) 320-3364

800 5th Ave
Ste 600
Seattle, WA 98104

9245 Rainier Ave S
Seattle, WA 98118
Phone (206) 461-6981

3400 California Ave SW
Seattle, WA 98116
Phone (206) 320-3399

4400 37th Ave S
Seattle, WA 98118
Phone (206) 296-4650

1629 N 45th St
Seattle, WA 98103
Phone (206) 633-3350

12721 30th Ave NE
Ste 101
Seattle, WA 98125
Phone (206) 417-0326

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636588800000",
    "number": "1679684161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25608",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841250608",
            "telephone_number": "206-320-4476",
            "fax_number": "206-568-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 CALIFORNIA AVE SW",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "98116",
            "telephone_number": "206-320-3399",
            "fax_number": "206-320-5506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4100 SW Alaska St Ste B",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981164527",
            "country_code": "US",
            "telephone_number": "206-320-3399",
            "fax_number": "206-320-5506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ELIZABETH",
        "middle_name": "KRATZ",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2021-11-11",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30007290",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN00163398",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007290",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679684161",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9648148",
            "state": "WA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emontgomery1042570@wm.providencedirect.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4100 SW Alaska St Ste B",
            "city": "Seattle",
            "state": "WA",
            "country_code": "US",
            "postal_code": "981164527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.