MS. KATHLEEN ANNE MONTGOMERY (NPI# 1194749424) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194749424 |
| Entity Type | Individual |
| Full Name | MS. KATHLEEN ANNE MONTGOMERY |
| Credential | CRNP |
| Practice Address |
34th St. and Civic Center Blvd. Philadelphia PA 19104 |
| Mailing Address |
738 Roseland Ave Jenkintown PA 19046-4163 |
| Practice Telephone | 2155905737 |
| Practice Fax Number | 2155907363 |
| Mailing Telephone | 2156638715 |
| Mailing Fax Number | 2156638546 |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
SP008115 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629200902 | Kathleen Jo Montgomery | Registered Nurse | 3620 Court Drive, Zanesville, OH 43701 | 2009-08-20 |
| 1518069814 | Kathleen Kennedy Montgomery | Counselor | 400 West Cummings Pk, Suite 3300, Woburn, MA 01801 | 2006-09-05 |
| 1376923516 | Kathleen Weber Montgomery | Pathology | 100 Michigan St Ne, Grand Rapids, MI 49503-2560 | 2015-06-03 |
| 1326273541 | Kathleen Ann Montgomery | Physical Therapy Assistant | 1706 E Amber Ln, Urbana, IL 61802-6907 | 2009-05-18 |
| Street Address |
34TH ST. AND CIVIC CENTER BLVD. |
| City | PHILADELPHIA |
| State | PA |
| Zip Code | 19104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588641435 | Paul D Bradford | Physician Assistant | 34th St. and Civic Center Blvd., Chop: Pediatric Orthopaedic Surgery, Philadelphia, PA 19104 | 2005-12-30 |
| 1134516461 | Stephanie Lynn Watts | Nurse Practitioner | 34th St. and Civic Center Blvd., Philadelphia, PA 19104-4399 | 2015-04-24 |
| 1558782482 | Emily Frances Stegonshek | Nurse Practitioner | 34th St. and Civic Center Blvd., Richard D. Wood Center, 2nd Floor, Philadelphia, PA 19104 | 2013-12-19 |
| 1194093120 | Linda Ath | Nurse Practitioner | 34th St. and Civic Center Blvd., Philadelphia, PA 19104 | 2011-12-05 |
| 1740598101 | Jana L. Bradley | Nurse Practitioner | 34th St. and Civic Center Blvd., Richard D. Wood Center, 1st Floor, Philadelphia, PA 19104-4399 | 2010-09-20 |
| 1437395829 | Joanne Nicholas Stow | Nurse Practitioner | 34th St. and Civic Center Blvd., First Floor The Children's Hospital of Philadelphia Ped, Philadelphia, PA 19104-4399 | 2009-01-06 |
| 1902099427 | Roni Lynnn Robinson | Nurse Practitioner | 34th St. and Civic Center Blvd., Philadelphia, PA 19104 | 2007-08-20 |
| 1710198601 | Amanda K. Berry | Nurse Practitioner | 34th St. and Civic Center Blvd., Children's Hospital of Philadelphia, Philadelphia, PA 19104 | 2007-05-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770829 | Michelle Morris | Student in an Organized Health Care Education/Training Program | Dept. of Family Medicine & Community Health, 3737 Market, Philadelphia, PA 19104 | 2020-11-04 |
| 1346853041 | Spectrum Health Services, Inc. | Clinic/Center | 1415 South University Ave, Philadelphia, PA 19104 | 2020-08-24 |
| 1770104259 | Fatimah Sorefan-mangou | Student in an Organized Health Care Education/Training Program | 4 Maloney 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1114548690 | Rebecca Blaguski | Registered Nurse | The Hospital of The University of Pennsylvania, 3400 Spruce Street, Philadelphia, PA 19104 | 2020-05-06 |
| 1952944175 | Rebecca Miriam Barmherzig | Psychiatry & Neurology | 3501 Civic Centre Blvd, 10th Flr Ctrb, Neurology, Philadelphia, PA 19104 | 2019-10-21 |
| 1891257101 | James Paul Byrne | Surgery | Penn Presbyterian Medical Center, Division of Trauma, S, 51 N. 39th Street, Suite 120, 1st Floor Medical Office, Philadelphia, PA 19104 | 2019-04-04 |
| 1093276453 | Lauren Shreve | Student in an Organized Health Care Education/Training Program | Department of Surgery, Surgery Education - Penn Health, 3400 Spruce Street, 4 Maloney, Philadelphia, PA 19104 | 2019-03-28 |
| 1285194282 | Lauren M Christie | Student in an Organized Health Care Education/Training Program | Penn Presbyterian Medical Center, 51 N. 39th Street, Philadelphia, PA 19104 | 2019-03-25 |
| 1114487683 | Sabrina Layne | Student in an Organized Health Care Education/Training Program | 3400 Spruce Street, 100 Centrex, Philadelphia, PA 19104 | 2019-03-21 |
| 1811457310 | Kia Lor | Student in an Organized Health Care Education/Training Program | Hospital of University of Pennsylvania, 3400 Spruce St., Philadelphia, PA 19104 | 2019-03-21 |
| Find all providers in zip 19104 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710584404 | Elizabeth Perry Hayes | Nurse Practitioner | 837 Wilder St, Philadelphia, PA 19147-5713 | 2020-10-06 |
| 1952919771 | Caitlin Wetzler | Nurse Practitioner | 2028 Rittenhouse Sq Apt 103, Philadelphia, PA 19103-5621 | 2020-07-17 |
| 1013476134 | Victoria Nicole Hudson | Nurse Practitioner | 7056 Germantown Ave Ste 102, Philadelphia, PA 19119-1826 | 2019-03-18 |
| 1700371978 | Kristi Ford | Nurse Practitioner | 160 E Erie Ave # 21542, Philadelphia, PA 19134 | 2018-06-28 |
| 1275026528 | Eileen Cawley Paynton | Nurse Practitioner | 7500 Central Ave Ste 205, Philadelphia, PA 19111-2432 | 2018-06-12 |
| 1811488091 | Lisa Jang | Nurse Practitioner | 3400 Civic Center Blvd Dept General, Philadelphia, PA 19104-5127 | 2018-05-23 |
| 1861999542 | Bashira Charles | Nurse Practitioner | 440 North Broad Street, Student Health Services, Philadelphia, PA 10130-4015 | 2018-04-10 |
| 1356883938 | Laura-therese Martone | Nurse Practitioner | 501 S 26th St Unit 1, Philadelphia, PA 19146-1008 | 2016-11-14 |
| 1578017042 | Education Plus, Inc. | Nurse Practitioner | 3217 W. Clearfield Street, Philadelphia, PA 19132 | 2016-08-12 |
| 1396194106 | Lisa Mcfarlane | Nurse Practitioner | 6340 Wayne Ave, Philadelphia, PA 19144-3113 | 2016-06-13 |
| Find all providers in PHILADELPHIA | ||||
| City | PHILADELPHIA |
| Zip Code | 19104 |
Please comment or provide details below to improve the information on MS. KATHLEEN ANNE MONTGOMERY.
| 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.