Sedera Montgomery, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN087735 Issued in LA

Practice address

473 Central Ave
Reserve, LA 70084-5509

Phone

(985) 536-2172

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

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.

• Louisiana Department of Health - Office of Public Health

  • Public Health or Welfare Agency
  • Baton Rouge, LA
  • NPI 1396316212
  NPD (past)

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405641600000",
    "number": "1992830970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "473 CENTRAL AVE",
            "city": "RESERVE",
            "state": "LA",
            "postal_code": "700845509",
            "telephone_number": "985-536-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "473 CENTRAL AVE",
            "city": "RESERVE",
            "state": "LA",
            "postal_code": "700845509",
            "telephone_number": "985-536-2172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONTGOMERY",
        "first_name": "SEDERA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2014-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "LA",
            "license": "RN087735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel Paul Miano Jr., D.D.S., L.L.C.
• Jnai Mickens
• Maia G Miller
• Terri Millet
• Randy Mire, PHARM. D.
• Jodi Naukam
• New Orleans Vamc
• Brittany S Phillip, CNA
• Carol Stephens Purcell, APRN, FNP-C
• Robert C Albrecht MD

• All providers in Reserve, LA
• Registered Nurse in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2014; 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.