Individual provider Active NPI

Carol Montgomery, MA

  • Case Manager/Care Coordinator
  • Baton Rouge, LA
National Provider Identifier
1780254045
Registry record updated Jan 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
11408 Lake Sherwood Ave N Ste a
Baton Rouge, LA 70816-0421
Phone
(225) 261-7143
Fax
(225) 250-1026
NPI assigned
Jun 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

11408 Lake Sherwood Ave N Ste a
Baton Rouge, LA 70816-0421

Mailing address

9976 Breeden Dr
Baton Rouge, LA 70811-2157
Phone (225) 447-1952

Other practice location 1

2751 Wooddale Blvd Ste A
Baton Rouge, LA 70805-7567
Phone (225) 925-1906

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)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1624924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1780254045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9976 BREEDEN DR",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708112157",
            "telephone_number": "225-447-1952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11408 LAKE SHERWOOD AVE N STE A",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708160421",
            "telephone_number": "225-261-7143",
            "fax_number": "225-250-1026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2751 Wooddale Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708057567",
            "country_code": "US",
            "telephone_number": "225-925-1906",
            "fax_number": "225-362-5356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "CAROL",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-29",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; 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.