Charisse Michelle Montgomery

Primary specialty

DoulaTaxonomy code 374J00000X

License

123251217 Issued in IL

Practice address

1274 Baybrook CT
Belleville, IL 62221-7980

Phone

(618) 250-7792

NPI assigned

Jul 21, 2021

Last updated

Dec 4, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1626825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764806400000",
    "number": "1942873617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1274 BAYBROOK CT",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622217980",
            "telephone_number": "618-250-7792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1274 BAYBROOK CT",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622217980",
            "telephone_number": "618-250-7792"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "50 Northgate Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Granite City",
            "state": "IL",
            "postal_code": "620406805",
            "country_code": "US",
            "telephone_number": "618-877-4420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "CHARISSE",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-21",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "IL",
            "license": "123251217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Belleville",
            "affiliation": "N",
            "address_1": "1274 Baybrook Ct",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622217980",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kari Lee Moen-Dornink
• Ventrapragada S Mohan, M.D.
• Tina Teresa Mond, DNP, APRN-FPA
• Andrew Philip Monestero, DDS
• Jennifer Monk- Beckley, FAMILY NURSE PRACTIT
• Girish R Mood, MD
• Dana A Moody, DMD
• Nancy Beatrice Moore, WHNP
• Hans Hassan Moosa, M.D.
• Jose Jesus Morales, M.D

• Doula in Belleville, IL
• Providers in Belleville, IL by specialty
• Doula in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; 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.