Individual provider Active NPI

Carrie Elizabeth Montgomery, FNP-C

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1871256628
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1019899 Issued in TX
Practice address
7301 Milwaukee Ave
Lubbock, TX 79424-0626
Phone
(806) 761-0464
Fax
(806) 698-6710
NPI assigned
Oct 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1019899 TX Primary

Addresses

Primary practice location

7301 Milwaukee Ave
Lubbock, TX 79424-0626

Mailing address

5219 City Bank Pkwy Ste 35
Lubbock, TX 79407-3545
Phone (806) 761-0334

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carrie.montgomery@direct.myteamcare.com Direct UMC Physicians

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20211117003191 TX Practitioner - Nurse Practitioner 5698164333 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Umc PhysiciansGroup PAC ID 9830003631, 107 clinicians

Practice addresses (Care Compare)

7301 Milwaukee Ave
Lubbock, TX 79424-0626
Phone (806) 761-0464

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Umc Physicians Family CurrentSince Nov 11, 2021 Accepting new patients
Lubbock County Hospital District Past Accepting new patients
Lubbock County Hospital District Past Accepting new patients

Locations

5219 City Bank Pkwy
Ste 214
Lubbock, TX 79407

602 Indiana Ave
Lubbock, TX 79415
Phone (806) 743-2898

808 Joliet Ave
Lubbock, TX 79415
Phone (806) 722-7400

5219 City Bank Pkwy
Ste 35
Lubbock, TX 79407
Phone (806) 761-0334

7301 Milwaukee Ave
Lubbock, TX 79424
Phone (806) 761-0464

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1634601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1871256628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 CITY BANK PKWY STE 35",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794073545",
            "telephone_number": "806-761-0334",
            "fax_number": "806-785-0872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MILWAUKEE AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794240626",
            "telephone_number": "806-761-0464",
            "fax_number": "806-698-6710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "CARRIE",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-19",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1019899",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carrie.montgomery@direct.myteamcare.com",
            "affiliation": "Y",
            "affiliationName": "UMC Physicians",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "7301 Milwaukee Ave",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794240626",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.