Laverne S Montgomery, MA,RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

LD000993 Issued in GA

Practice address

5255 Snapfinger Park Dr
Suite 110
Decatur, GA 30035-4084

Phone

(770) 981-2211

Fax

(770) 981-0208

NPI assigned

Sep 24, 2006

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1159056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478476800000",
    "number": "1922108406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MONTGOMERY'S STRATEGIC NUTRITION SERVICES",
            "address_2": "6066 LAKEVIEW OVERLOOK",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300383461",
            "telephone_number": "770-482-6594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5255 SNAPFINGER PARK DR",
            "address_2": "SUITE 110",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354084",
            "telephone_number": "770-981-2211",
            "fax_number": "770-981-0208"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "LAVERNE",
        "middle_name": "S",
        "name_prefix": "Ms.",
        "credential": "MA,RD, LD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-24",
        "last_updated": "2016-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "132700000X",
            "taxonomy_group": "",
            "desc": "Dietary Manager",
            "state": "GA",
            "license": "LD000993",
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD000993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Lynn Monroe, PHARMD
• Tiffani H Monroe, MA
• Katie Montanez, MSW
• Tracey Simone Monteriro
• Brianna Montgomery
• Reagan Monturo
• Harriet D Moody, PA-C
• Catherine Berry Moon, LCSW
• Karen Moon, DPM
• Shaini Moonjeli, NP

• Registered Dietitian in Decatur, GA
• Providers in Decatur, GA by specialty
• Registered Dietitian in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2016; 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.