Active NPI
Julia Reynolds Montgomery
- Speech-Language Pathologist
- Jackson, TN
National Provider Identifier
1780616342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2363
- Practice address
- 32 Garland Dr
Jackson, TN 38305-3602 - Phone
- (731) 664-3645
- Fax
- (731) 668-6549
- NPI assigned
- Jul 6, 2006
- Last updated
- Jul 29, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2363 | TN | Primary |
Addresses
Primary practice location
32 Garland Dr
Jackson, TN 38305-3602
Mailing address
1804 Highway 45 Byp
Ste 604
Jackson, TN 38305-4436
Phone (731) 660-8755
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 |
|---|---|---|---|
| 2363 | TN | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1248825600000",
"number": "1780616342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1804 HIGHWAY 45 BYP",
"address_2": "STE 604",
"city": "JACKSON",
"state": "TN",
"postal_code": "383054436",
"telephone_number": "731-660-8755"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 GARLAND DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053602",
"telephone_number": "731-664-3645",
"fax_number": "731-668-6549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "JULIA",
"middle_name": "REYNOLDS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-06",
"last_updated": "2009-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "2363",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, TN
- Mohamad R Karami-Sichani (Advanced Psychiatric Services)
- Mohamad R Karami-Sichani (Advanced Psychiatric Services)
- Emad Hashim Mohamed, M.D.
- Sarwat Mohamed, PT
- Rhea Montecillo, PT
- Leanne Simpson Montgomery
- Bryce Alain Moody, M.D.
- Peyton Elizabeth Moody, FNP-C
- Melissa Anne Mooney, M.D.
- Angela Moore, MAED
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.