Lakisha Evette Montgomery, APRN, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP141093 Issued in TX

Practice address

1329 W Walnut Hill LN Ste 102
Irving, TX 75038-3270

Phone

(940) 843-1455

Fax

(972) 535-0441

NPI assigned

May 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Anchor Functional Medicine Associates PLLCGroup PAC ID 8921459744, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• Anchor Functional Medicine Associates, PLLC

  dba Anchor Restorative Medicine

  • Medical Specialty Clinic/Center
  • Irving, TX
  • NPI 1225714454
  Medicare reassignment Care Compare group NPD
• Be. Women's Health and Wellness, P.L.L.C.

  • Obstetrics & Gynecology Physician
  • Frisco, TX
  • NPI 1689087587
  Medicare reassignment NPD
• Modera Clinic PLLC

  • Family Medicine Physician
  • Little Elm, TX
  • NPI 1962957639
  Medicare reassignment NPD
• Elite Healthcare, LLC

  • Family Nurse Practitioner
  • Crossroads, TX
  • NPI 1447922265
  NPD

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

{
    "created_epoch": "1557187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1720643554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13052 DALLAS PKWY STE 210",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "750334241",
            "telephone_number": "940-365-9001",
            "fax_number": "940-365-9009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 W WALNUT HILL LN STE 102",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750383270",
            "telephone_number": "940-843-1455",
            "fax_number": "972-535-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "LAKISHA",
        "middle_name": "EVETTE",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-07",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP141093",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP141093",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "834487",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Naya Monroe, BCBA, LBA
• Steven Kent Montalvo, MD
• Debra Lynn Monte, LPC
• Richard Andrew Montes, D.C.
• Edith Chinyere Montgomery, RN
• Jane Louise Montijo, RPH
• Monty L. Day (NTS)
• Everett Albert Moody, M.D.
• Karen Elaine Moody, PHARM D
• Faiza Moolla

• Nurse Practitioner in Irving, TX
• Providers in Irving, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.