Elizabeth Anne Montgomery, IBCLC

Primary specialty

Lactation Consultant (Registered Nurse)Taxonomy code 163WL0100X

License

R0102187 Issued in OK

Practice address

10501 E 91St St
Tulsa, OK 74133-5888

Phone

(918) 307-6394

NPI assigned

Sep 15, 2021

Last updated

Sep 15, 2021By 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 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": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1912677659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3102 S NARCISSUS PL",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740126845",
            "telephone_number": "918-430-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 E 91ST ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335888",
            "telephone_number": "918-307-6394"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "ELIZABETH",
        "middle_name": "ANNE",
        "credential": "IBCLC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WL0100X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Lactation Consultant",
            "state": "OK",
            "license": "R0102187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Montesano, D.C.
• Montgomery Care Center
• Christin Montgomery-Lang
• Aaron Brandon Montgomery
• Christa Montgomery
• Leigh Montgomery
• Makia Monique Montgomery
• Marsha Louise Montgomery, LPN
• Olivia Montgomery
• Ronald Keith Montgomery, DDS

• Lactation Consultant (Registered Nurse) in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Lactation Consultant (Registered Nurse) in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2021; 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.