Patricia Montgomery, NURSE PRATITIONER

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN051705 Issued in GA

Practice address

814 Radford Blvd
Albany, GA 31704-1130

Phone

(229) 639-7820

NPI assigned

Jul 26, 2007

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

Other identifiers 2

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": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185408000000",
    "number": "1952591034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WIREGRASS WAY",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317216363",
            "telephone_number": "229-436-1160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 RADFORD BLVD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317041130",
            "telephone_number": "229-639-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "PATRICIA",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRATITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-26",
        "last_updated": "2007-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "188439",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN051705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMONWEALTH OF MASSACHUS",
            "identifier": "188439",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF GEORGIA",
            "identifier": "RN051705",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Blair Monahan, D.O.
• Thomas William Monahan III, DMD
• Elizabeth Moncrief, CCC-SLP
• Theresa Moncus, RN
• Ruth Datmare Montalvo, M.D.
• Joyce Marie Monticino, FNP-C
• Monifa Montique
• Christopher Moody, ATC
• Courtney Moore, PHARMD
• Cynthia Moore

• Family Nurse Practitioner in Albany, GA
• Providers in Albany, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; 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.