Juandria Nicole Montgomery, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

274081 Issued in GA

Practice address

6025 Stage Rd Ste 42-346
Bartlett, TN 38134-8374

Phone

(901) 443-7353

NPI assigned

Mar 28, 2007

Last updated

Dec 28, 2022By 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 3

Addresses

Other identifiers 2

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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.

• Erlanger Health

  • Internal Medicine Physician
  • Chattanooga, TN
  • NPI 1477256303
  Medicare reassignment NPD
• Minuteclinic Diagnostic of Tennessee PC

  • Family Nurse Practitioner
  • Nashville, TN
  • NPI 1457323164
  Medicare reassignment NPD
• Advanced Practice Alliance

  • Family Medicine Physician
  • East Ridge, TN
  • NPI 1336950807
  NPD
• Education and Counseling Solutions LLC

  • Professional Counselor
  • Bartlett, TN
  • NPI 1942925938

  Health & Wellness Coach

  NPD
• Erlanger Health

  • Durable Medical Equipment & Medical Supplies
  • Chattanooga, TN
  • NPI 1740073329
  NPD
• Admed, P.C.

  • Specialist
  • Chattanooga, TN
  • NPI 1699886739
  NPD (past)
• Crossroads Clinic PLLC

  • Primary Care Nurse Practitioner
  • Ooltewah, TN
  • NPI 1043662687
  NPD (past)

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1730208083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6447 SATJANON DR",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373637241",
            "telephone_number": "423-443-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6025 STAGE RD STE 42-346",
            "city": "BARTLETT",
            "state": "TN",
            "postal_code": "381348374",
            "telephone_number": "901-443-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "JUANDRIA",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17626",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "274081",
            "primary": true
        },
        {
            "code": "171400000X",
            "taxonomy_group": "",
            "desc": "Health & Wellness Coach",
            "state": "NU",
            "license": "A-3404511",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q001302",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "6011441",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Farukh Ali Mirza, MD
• Amber Carroll Mitchell
• David Edward Mitchell
• Mohamad Jamil Akbik, M.D., P.C.
• Dora Montague, LPC
• Jose Luis Montoya, D.D.S.
• Andrea Moore, SLP.D., CCC-SLP
• Brittanay Moore, LCSW
• Kristina Moore
• Marian Teresa Moore

• Family Nurse Practitioner in Bartlett, TN
• Providers in Bartlett, TN by specialty
• Family Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.