NPIMap

Organization Active NPI

Tamara Montgomery

  • Licensed Practical Nurse
  • Peebles, OH
National Provider Identifier
1831210798
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
PN. 095938 Issued in OH
Legal business name
TAMARA MONTGOMERY
Practice address
1368 McCoy Rd
Peebles, OH 45660-9676
Phone
(937) 587-6320
Fax
(937) 587-6329
NPI assigned
Apr 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Tamara Lynn MontgomeryNPI 1164680757
Title
LPN
Phone
(937) 587-6320

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X PN. 095938 OH Primary

Addresses

Primary practice location

1368 McCoy Rd
Peebles, OH 45660-9676

Mailing address

1368 McCoy Rd
Peebles, OH 45660-9676
Phone (937) 587-6320

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1831210798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1368 MCCOY RD",
            "city": "PEEBLES",
            "state": "OH",
            "postal_code": "456609676",
            "telephone_number": "937-587-6320",
            "fax_number": "937-587-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1368 MCCOY RD",
            "city": "PEEBLES",
            "state": "OH",
            "postal_code": "456609676",
            "telephone_number": "937-587-6320",
            "fax_number": "937-587-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAMARA MONTGOMERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MONTGOMERY",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "LPN",
        "authorized_official_telephone_number": "937-587-6320",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN. 095938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peebles, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.