Active NPI
Alicia Montgomery, DVM
- Veterinarian
- Fairfax, VA
National Provider Identifier
1831533520
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Veterinarian
- License
- 0301202471
- Practice address
- 8500 Arlington Blvd
Fairfax, VA 22031-4604 - Phone
- (703) 752-9100
- Fax
- (703) 752-9202
- NPI assigned
- Apr 24, 2013
- Last updated
- Apr 24, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Veterinarian | 174M00000X | 0301202471 | VA | Primary |
Addresses
Primary practice location
8500 Arlington Blvd
Fairfax, VA 22031-4604
Mailing address
21 14TH St NE
Washington, DC 20002-8419
Phone (202) 689-9617
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0301202471 | VA | MD | Veterinarian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366761600000",
"number": "1831533520",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 14TH ST NE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200028419",
"telephone_number": "202-689-9617"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8500 ARLINGTON BLVD",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314604",
"telephone_number": "703-752-9100",
"fax_number": "703-752-9202"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "ALICIA",
"credential": "DVM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-24",
"last_updated": "2013-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "174M00000X",
"taxonomy_group": "",
"desc": "Veterinarian",
"state": "VA",
"license": "0301202471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
- Monica R DDS PLLC (Perfect Sonrisa Dental Care)
- Kim Monroe, RD, CDE
- Jane-Ellen Monson, M.ED., ED.S.
- Mary M Montague, FNP
- Sanford Montalto, D.D.S.
- Joyce L Montgomery, LCSW
- Richard A. Monti Jr., M.D.
- Lino Cueto Montilla, M.D.,F.A.C.O.G.
- Monument-Fairfax, LLC (Revolution Meds Pharmacy)
- Monument-Fairfax, LLC (Revolution Meds Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.