Individual provider Active NPI

Courtney Laird Montgomery, ARNP

  • Family Nurse Practitioner
  • Issaquah, WA
National Provider Identifier
1992784656
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP30007068 Issued in WA
Practice address
450 NW Gilman Blvd Ste 203
Issaquah, WA 98027-2483
Phone
(425) 888-2299
Fax
(425) 888-1204
NPI assigned
Jan 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP30007068 WA Primary

Addresses

Primary practice location

450 NW Gilman Blvd Ste 203
Issaquah, WA 98027-2483

Mailing address

PO Box 1031
Fall City, WA 98024-1031
Phone (425) 222-5778

Other names 1

  • Courtney Laird Decker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060807000346 WA Practitioner - Nurse Practitioner 6709889058 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Snoqualmie Valley Clinic PLLCGroup PAC ID 1355231820, 2 clinicians

Practice addresses (Care Compare)

450 NW Gilman Blvd
Suite 203
Issaquah, WA 98027-2483
Phone (425) 888-2299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Snoqualmie Valley Clinic, PLLC CurrentSince Jan 31, 2021 Accepting new patients
Public Hospital District No 4, King County Wa Family Past Accepting new patients
Public Hospital District No. 4, King County Washington Family Past Accepting new patients
Factoria Women & Family Clinic Past Accepting new patients
Public Hospital District No 4 King County Washington Past Accepting new patients
Pacific Palisades Podiatry PLLC Past Accepting new patients

Locations

450 NW Gilman Blvd
Ste 203
Issaquah, WA 98027
Phone (425) 454-3938

Interoperability endpoints

  • Direct secure messaging: courtney.montgomery.1@20366.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/7582/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1992784656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1031",
            "city": "FALL CITY",
            "state": "WA",
            "postal_code": "980241031",
            "telephone_number": "425-222-5778",
            "fax_number": "425-644-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 NW GILMAN BLVD STE 203",
            "city": "ISSAQUAH",
            "state": "WA",
            "postal_code": "980272483",
            "telephone_number": "425-888-2299",
            "fax_number": "425-888-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "COURTNEY",
        "middle_name": "LAIRD",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-11",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP30007068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COURTNEY",
            "last_name": "DECKER",
            "middle_name": "LAIRD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Issaquah, WA

Sources for this page

Verify at the official NPI Registry.