Lucille Pauline Montminy, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5011342 Issued in NC

Practice address

200 Hawthorne LN
Charlotte, NC 28204

Phone

(704) 384-5416

Fax

(704) 384-5992

NPI assigned

Jan 17, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: lmontminy708136@direct.novanthealth.org

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1720552185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-5416",
            "fax_number": "704-384-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWTHORNE LN",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28204",
            "telephone_number": "704-384-5416",
            "fax_number": "704-384-5992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8430 University Exec Park Dr Ste 685",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282621337",
            "country_code": "US",
            "telephone_number": "704-384-1225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8430 University Exec Park Dr Ste 685",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282621337",
            "country_code": "US",
            "telephone_number": "704-384-1225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTMINY",
        "first_name": "LUCILLE",
        "middle_name": "PAULINE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5011342",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lmontminy708136@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "8430 University Exec Park Dr Ste 685",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282621337",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Samuel Montgomery
• Tchernavia Ranesfore Montgomery, MSW, LCSW
• Thomas Montgomery, MD
• Tia Michele Montiero
• Jenna Simonne Montminy, DMD
• Michelle Montoya-Pedroza
• Nancy Colette Montz, MD
• Kristin Hayes Monza, NP
• Javad Monzavifar, MD
• Anika Moody-Proulx, MS, BCBA, LBA

• Nurse Practitioner in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.