Individual provider Active NPI

Pamela Ellen Montgomery-Earl, AU.D.

  • Audiologist
  • St George, UT
National Provider Identifier
1770645715
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
69490784101 Issued in UT
Practice address
161 W 200 N Ste 101
St George, UT 84770-2728
Phone
(435) 688-2456
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AY1127 FL
Audiologist-Hearing Aid Fitter 237600000X DA9775 AZ
Audiologist 231H00000X 69490784101 UT Primary

Addresses

Primary practice location

161 W 200 N Ste 101
St George, UT 84770-2728

Mailing address

161 W 200 N Ste 101
St George, UT 84770-2728
Phone (435) 688-2456

Other names 1

  • Dr. Pamela Ellen Montgomery-Earl Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
69490784101UTMDAudiologist
DA9775AZMDAudiologist-Hearing Aid Fitter

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770645715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 W 200 N STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702728",
            "telephone_number": "435-688-2456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 W 200 N STE 101",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702728",
            "telephone_number": "435-688-2456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY-EARL",
        "first_name": "PAMELA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "FL",
            "license": "AY1127",
            "primary": false
        },
        {
            "code": "237600000X",
            "taxonomy_group": "",
            "desc": "Audiologist-Hearing Aid Fitter",
            "state": "AZ",
            "license": "DA9775",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "UT",
            "license": "69490784101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PAMELA",
            "last_name": "MONTGOMERY-EARL",
            "middle_name": "ELLEN",
            "prefix": "DR.",
            "credential": "AU.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.