Individual provider Active NPI

Rhonda Lea Montgomery, MSN, APN

  • Clinical Nurse Specialist
  • Townsend, DE
National Provider Identifier
1790047017
Registry record updated Mar 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
LT-0000103 Issued in DE
Practice address
1581 Caldwell Corner Rd
Townsend, DE 19734-9258
Phone
(302) 750-7553
NPI assigned
Jun 12, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health/Public Health Clinical Nurse Specialist 364SC1501X LT-0000103 DE
Clinical Nurse Specialist 364S00000X LT-0000103 DE Primary

Addresses

Primary practice location

1581 Caldwell Corner Rd
Townsend, DE 19734-9258

Mailing address

1581 Caldwell Corner Rd
Townsend, DE 19734-9258
Phone (302) 750-7553

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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

Enrollment IDStateProvider typePAC IDDetails
I20180302001661 DE Practitioner - Certified Clinical Nurse Specialist (CNS) 5395006548 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
LT-0000103DEMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
A Center for Mental Wellness, Inc. CurrentSince Jan 22, 2018 Accepting new patients

Locations

121 W Loockerman St
Dover, DE 19904
Phone (302) 674-1397

25 S Old Baltimore Pike
Newark, DE 19702
Phone (302) 266-6200

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1339459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458864000000",
    "number": "1790047017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 CALDWELL CORNER RD",
            "city": "TOWNSEND",
            "state": "DE",
            "postal_code": "197349258",
            "telephone_number": "302-750-7553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 CALDWELL CORNER RD",
            "city": "TOWNSEND",
            "state": "DE",
            "postal_code": "197349258",
            "telephone_number": "302-750-7553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "RHONDA",
        "middle_name": "LEA",
        "credential": "MSN, APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-12",
        "last_updated": "2016-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SC1501X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Community Health/Public Health",
            "state": "DE",
            "license": "LT-0000103",
            "primary": false
        },
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "DE",
            "license": "LT-0000103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Townsend, DE

Sources for this page

Verify at the official NPI Registry.