CHANDRA L MONTGOMERY (NPI# 1124186507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124186507 |
| Entity Type | Individual |
| Full Name | CHANDRA L MONTGOMERY |
| Credential | NP |
| Practice Address |
1174 Idlewood Dr Waco TX 76705-5238 |
| Practice Telephone | 2542142558 |
| Practice Fax Number | 2545825518 |
| Mailing Telephone | 2542142558 |
| Mailing Fax Number | 2545825518 |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-06-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
636019 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1302 E Elm St, Hillsboro, TX 76645 | 2542142558 | 2545825518 |
| Street Address |
1174 IDLEWOOD DR |
| City | WACO |
| State | TX |
| Zip Code | 76705-5238 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245703149 | Swan Health & Wellness LLC | Nurse Practitioner | 1174 Idlewood Dr, Waco, TX 76705-5238 | 2019-01-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548860943 | Adam Kyle Spillers | Pharmacist | 1521 I-35 East, Bellmead, TX 76705 | 2020-10-27 |
| 1245849157 | Jonathan Huo | Pharmacist | 801 N I-35, Bellmead, TX 76705 | 2020-07-27 |
| 1093323362 | Ace Dental10, Pllc | Dentist | 901 N Ih-35, Suite 111, Bellmead, TX 76705 | 2020-07-22 |
| 1285193607 | Adam Tyler Barnes, Dds of Texas II, Pllc | Dentist | 510 N Loop 340, Ste E, Bellmead, TX 76705 | 2019-03-15 |
| 1285105585 | Charlotte Robinson | Registered Nurse | 1417 E Loop 340, Waco, TX 76705 | 2018-12-12 |
| 1225547532 | Sharon Denise Miles | Social Worker | 4603 Lexington St., Waco, TX 76705 | 2017-09-29 |
| 1619494226 | Ariel Rennspies | Physician Assistant | 1135 Tx-340 Loop, Waco, TX 76705 | 2017-08-24 |
| 1184158362 | Providence Health Services of Waco | Durable Medical Equipment & Medical Supplies | 1130 N Loop 340, Lacy Lakeview, TX 76705 | 2017-04-14 |
| 1396131926 | Kate Marie-hall Nelson | Speech-Language Pathologist | 208 Chama Drive, Hewitt, TX 76705 | 2015-04-10 |
| 1366728149 | Marcia Deshazo Carter | Speech-Language Pathologist | 6610 N. Ih 35, Waco, TX 76705 | 2011-10-25 |
| Find all providers in zip 76705 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891284642 | Adria Duplessis | Nurse Practitioner | 2308 Lake Forest Dr, Waco, TX 76708-1121 | 2018-05-08 |
| 1437608866 | Karen Iyere | Nurse Practitioner | 4800 Memorial Dr Bldg 91, Waco, TX 76711-1329 | 2016-09-27 |
| 1942523774 | Nicole Nichelle Ivey | Nurse Practitioner | 100 Hillcrest Medical Blvd, Waco, TX 76712-8897 | 2010-03-08 |
| 1144499914 | Alice Joann Ogden | Nurse Practitioner | 2911 Herring Ave, Suite 306, Waco, TX 76708-3245 | 2008-02-26 |
| 1518047299 | Sharon Ann Rogers | Nurse Practitioner | 7125 New Sanger Rd, Ste A, Waco, TX 76712-4053 | 2006-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275778 | Anel Odette Chavez | Nurse Practitioner | 1006 Sage Ln, Edinburg, TX 78539-7820 | 2020-11-04 |
| 1104427335 | Randel Bond | Nurse Practitioner | 337 Woodstone Loop, Cibolo, TX 78108-3268 | 2020-11-04 |
| 1467051870 | Melinda Davis-mcclendon | Nurse Practitioner | 2158 River Edge Dr, Belton, TX 76513-1429 | 2020-10-19 |
| 1053910489 | Morgan Lee Lemoine | Nurse Practitioner | 1811 Stephen Dr, Wylie, TX 75098-0258 | 2020-10-17 |
| 1255939740 | Melissa Walles George | Nurse Practitioner | 941 Scotland Dr, Desoto, TX 75115-2058 | 2020-10-15 |
| 1487251377 | Karen Baricaua Bautista | Nurse Practitioner | 1912 78th St, Lubbock, TX 79423-2455 | 2020-10-05 |
| 1205443132 | Rincy P Mathew | Nurse Practitioner | 10935 Estate Ln Ste 400, Dallas, TX 75238-5110 | 2020-09-24 |
| 1326654724 | Connie Sue Fiser | Nurse Practitioner | 248 Cass Cir, Flint, TX 75762-6990 | 2020-09-21 |
| 1588279525 | Marquita Michelle Pickens | Nurse Practitioner | 6817 Historic Vw, Dallas, TX 75236-0109 | 2020-09-15 |
| 1033723184 | Rita Chibuzor Nwajei | Nurse Practitioner | 2726 Atlas Dr, Missouri City, TX 77459-6745 | 2020-09-06 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.