Michelle M Montgomery, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

D-699 Issued in ID

Practice address

3350 W Americana Ter Ste 215
Boise, ID 83706-2545

Phone

(208) 615-2448

Fax

(208) 328-5535

NPI assigned

Jan 13, 2022

Last updated

Jan 13, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1642032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1851042584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14924 DAGGER FALLS WAY",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836075457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 W AMERICANA TER STE 215",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837062545",
            "telephone_number": "208-615-2448",
            "fax_number": "208-328-5535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "RDN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-13",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "OR",
            "license": "LD-D-10147007",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "ID",
            "license": "D-699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marissa Montamat, COTA
• Stephen C Montamat, MD
• Starla Marie Monterrose
• Adrianne Montgomery
• Kathryn Montgomery, LCPC
• Paul G Montgomery, MD
• Russell Adam Montgomery, BA
• Veronica Montgomery, D.D.S.
• Shawnee Kay Montierth, NP-C
• Erika Michel Montoya, COUNSELING INTERN

• Registered Dietitian in Boise, ID
• Providers in Boise, ID by specialty
• Registered Dietitian in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.