Active NPI
Laura Kemp Montgomery
- Family Nurse Practitioner
- Conroe, TX
National Provider Identifier
1932677135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP128219
- Practice address
- 690 S Loop 336 W Ste 200
Conroe, TX 77304-3320 - Phone
- (936) 525-3624
- NPI assigned
- Nov 5, 2018
- Last updated
- Sep 24, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP128219 | TX | Primary |
| Registered Nurse | 163W00000X | 808237 | TX |
Addresses
Primary practice location
690 S Loop 336 W Ste 200
Conroe, TX 77304-3320
Mailing address
21412 Lambeth Ridge LN
Kingwood, TX 77339-1488
Phone (832) 314-3563
Other practice location 1
21412 Lambeth Ridge Ln
Kingwood, TX 77339-1488
Phone (832) 314-3563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 808237 | TX | MD | Registered Nurse |
| AP128219 | TX | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569283200000",
"number": "1932677135",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21412 LAMBETH RIDGE LN",
"city": "KINGWOOD",
"state": "TX",
"postal_code": "773391488",
"telephone_number": "832-314-3563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "690 S LOOP 336 W STE 200",
"city": "CONROE",
"state": "TX",
"postal_code": "773043320",
"telephone_number": "936-525-3624"
}
],
"practiceLocations": [
{
"address_1": "21412 Lambeth Ridge Ln",
"address_purpose": "LOCATION",
"city": "Kingwood",
"state": "TX",
"postal_code": "773391488",
"country_code": "US",
"telephone_number": "832-314-3563",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONTGOMERY",
"first_name": "LAURA",
"middle_name": "KEMP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-05",
"last_updated": "2019-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP128219",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "808237",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
- Montgomery County Lung Clinic, P.a. (None)
- Montgomery County Periodontal Associates PC
- Montgomery County Public Health District
- Montgomery Orthopedic Care Specialists PLLC
- Charlotte Carey Montgomery, LPC
- Whitney Lane Montgomery, PA-C
- Ella Moody
- Lynn Abadesco Moody, RN
- Alan Arthur Moore, DDS
- Amy Nicole Moore, WHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.