Individual provider Active NPI

Elizabeth Ruth Hall-Moten, REGISTERED NURSE

  • Home Health Registered Nurse
  • Austin, TX
National Provider Identifier
1972887453
Registry record updated Jun 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
758363 Issued in TX
Practice address
9009 North FM 620
Ste 1313
Austin, TX 78726-4200
Phone
(512) 367-9049
Fax
(512) 551-2096
NPI assigned
Oct 3, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered Nurse 163WH0200X 758363 TX Primary

Addresses

Primary practice location

9009 North FM 620
Ste 1313
Austin, TX 78726-4200

Mailing address

9009 N FM 620
Ste 1313
Austin, TX 78726-4200
Phone (512) 367-9049

Other names 1

  • Elizabeth Ruth Montgomery Other name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
758363TXMDHome Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Day Hab LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338508800000",
    "number": "1972887453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9009 N FM 620",
            "address_2": "STE 1313",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264200",
            "telephone_number": "512-367-9049",
            "fax_number": "512-551-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9009 NORTH FM 620",
            "address_2": "STE 1313",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787264200",
            "telephone_number": "512-367-9049",
            "fax_number": "512-551-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL-MOTEN",
        "first_name": "ELIZABETH",
        "middle_name": "RUTH",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-03",
        "last_updated": "2012-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "TX",
            "license": "758363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "MONTGOMERY",
            "middle_name": "RUTH",
            "credential": "REGISTERED NURSE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; 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.