Active NPI
Pamela Ellen Montgomery-Earl, AU.D.
- Audiologist
- St George, UT
National Provider Identifier
1770645715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- 69490784101
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 69490784101 | UT | MD | Audiologist |
| DA9775 | AZ | MD | Audiologist-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.