Leslie Ginevra Montgomery I

Primary specialty

ContractorTaxonomy code 171W00000X

License

CFH-6633 Issued in ID

Practice address

700 Parkside Way
Nampa, ID 83686-8247

Phone

(208) 703-7729

Fax

(208) 703-7729

NPI assigned

May 20, 2025

Last updated

May 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1747699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747699200000",
    "number": "1831981331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11259 SOPRIS LOOP",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836051009",
            "telephone_number": "208-703-7729",
            "fax_number": "208-703-7729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 PARKSIDE WAY",
            "city": "NAMPA",
            "state": "ID",
            "postal_code": "836868247",
            "telephone_number": "208-703-7729",
            "fax_number": "208-703-7729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "LESLIE",
        "middle_name": "GINEVRA",
        "name_prefix": "Ms.",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-20",
        "last_updated": "2025-05-20",
        "certification_date": "2025-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "ID",
            "license": "CFH-6633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Contractor in Nampa, ID
• Providers in Nampa, ID by specialty
• Contractor in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.