Margaret Mechelle Montgomery, RMA/HHA

Primary specialty

Private VehicleTaxonomy code 347C00000X

License

M532573655270 Issued in FL

Practice address

12939 Lake Vista Dr
Gibsonton, FL 33534-3900

Phone

(813) 464-0828

Fax

(813) 373-5448

NPI assigned

Oct 16, 2017

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 names 1

• Mrs. Margaret Mechelle Mann Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Medical Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Destiny Quality Care, LLC

  • Developmentally Disabled Services Day Training Agency
  • Brandon, FL
  • NPI 1992510895
  NPD Authorized official

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

{
    "created_epoch": "1508112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1962913095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12939 LAKE VISTA DR",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343900",
            "telephone_number": "813-464-0828",
            "fax_number": "813-373-5448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12939 LAKE VISTA DR",
            "city": "GIBSONTON",
            "state": "FL",
            "postal_code": "335343900",
            "telephone_number": "813-464-0828",
            "fax_number": "813-373-5448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "MARGARET",
        "middle_name": "MECHELLE",
        "name_prefix": "Mrs.",
        "credential": "RMA/HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-16",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "FL",
            "license": "M532573655270",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGARET",
            "last_name": "MANN",
            "middle_name": "MECHELLE",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianna Michelle Melodick, RN
• Beatrice Mary Metzger, PTA
• Kayla Mitchell
• Olguine Mode
• Irina Monroe, CHT
• Mouling Care Inc
• Vallicia Mouling
• Lisa Jane Murphy
• Nalanis Transportation LLC
• Nehaul & Stryker, O.D., PLLC

• Private Vehicle in Gibsonton, FL
• Providers in Gibsonton, FL by specialty
• Private Vehicle in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.