KIMBERLY MONTGOMERY (NPI# 1306311436) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306311436 |
| Entity Type | Individual |
| Full Name | KIMBERLY MONTGOMERY |
| Practice Address |
104 S Front Ave Prestonsburg KY 41653-1614 |
| Practice Telephone | 6068868572 |
| Practice Fax Number | 6068864433 |
| Mailing Telephone | 6068868572 |
| Mailing Fax Number | 6068864433 |
| Enumeration Date | 2018-10-04 |
| Last Update Date | 2018-10-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396279501 | Kimberly Montgomery | Counselor | 613 Burton St, Aliquippa, PA 15001-3005 | 2017-04-13 |
| 1568802940 | Kimberly Dawn Montgomery | Clinical Nurse Specialist | 1400 8th Ave Bldg C, Suite 3001, Ft Worth, TX 76104-4110 | 2013-06-28 |
| 1821170861 | Kimberly G Montgomery | Psychologist | 11805 North Pennsylvania Street, Carmel, IN 46032-4555 | 2006-10-19 |
| 1578545786 | Kimberly Piche Montgomery | Counselor | 3522 Webster Rd, Blue Ridge, VA 24064-1980 | 2005-11-15 |
| 1972148484 | Kimberly Dawn Montgomery | Pharmacist | 809 S 25 Mile Ave, Hereford, TX 79045-4801 | 2019-11-08 |
| 1780180554 | Kimberly Montgomery | Peer Specialist | 1014 Walla Walla Ave, Wenatchee, WA 98801-1523 | 2018-04-02 |
| 1508254376 | Kimberly Montgomery | Registered Nurse | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2015-01-02 |
| 1952559411 | Kimberly D Montgomery | Nurse Anesthetist, Certified Registered | 501 20th St, Suite 606, Knoxville, TN 37916-1809 | 2008-09-08 |
| 1427215607 | Kimberly A. Montgomery | Registered Nurse | 7373 Perkins Rd, Baton Rouge, LA 70808-4326 | 2008-05-16 |
| 1013979228 | Kimberly Montgomery | Nurse Practitioner | 3030 Randolph Rd, Ste 200, Charlotte, NC 28211-1368 | 2006-04-04 |
| Street Address |
104 S FRONT AVE |
| City | PRESTONSBURG |
| State | KY |
| Zip Code | 41653-1614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225020332 | Manmohan Pothuloori | Psychiatry & Neurology | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2005-08-16 |
| 1982203477 | Tiffany Gipson | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-26 |
| 1932708427 | Yvonne House | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-26 |
| 1649879529 | Kari Steele | Registered Nurse | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1730788712 | Megan Stansberry | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1235738238 | Ashley Blackburn | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1851990824 | Kelsey Sizemore | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1538768536 | Anthony Barrett | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-21 |
| 1790384048 | Lakin Kirk | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-19 |
| 1568061976 | Shawna Edwards | Community Health Worker | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-10-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568094670 | Commonwealth Community Care Centers, LLC | Obstetrics & Gynecology | 156 North Lake Drive, Prestonburg, KY 41653 | 2020-02-06 |
| 1336781152 | Toni Coleman | Counselor | 104 South Front Ave, Prestonsburg, KY 41653 | 2019-10-14 |
| 1063070043 | Beverly Jane Daniel | Nurse Practitioner | 5230-ky-321#8, Prestonsburg, KY 41653 | 2019-06-04 |
| 1760966519 | Mackenzie Alvarez | Counselor | 104 South Front Avenue, Prestonsburg, KY 41653 | 2018-09-18 |
| 1427409739 | Css Rehab Services | Early Intervention Provider Agency | 165 Ridgewood Drive, Prestonsburg, KY 41653 | 2016-06-28 |
| 1356745509 | Rosanna Mccoy | Counselor | 105 Trimble Chapel Square, Prestonsburg, KY 41653 | 2014-10-17 |
| 1770828766 | Mary Whitney Amburgey | Physical Therapist | 5000 Ky-321, Prestonsburg, KY 41653 | 2012-12-03 |
| 1750648168 | Cynthia Crase | Social Worker | 311 N Arnold Ave Ste 504, Prestonsburg, KY 41653 | 2012-04-23 |
| 1003107566 | Shane Hensley | Pharmacist | 152 Collins Circle, Prestonsburg, KY 41653 | 2011-05-02 |
| 1659607018 | Paul Michael Burchett | Pharmacist | 5291 Ky Rte 321, Prestonsburg, KY 41653 | 2009-10-20 |
| Find all providers in zip 41653 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184079311 | Michael Vance | Counselor | 1033 S Highland Ave, Prestonsburg, KY 41653-7889 | 2016-04-25 |
| 1184093395 | Kimberly Calhoun | Counselor | 87 Oak Ridge Ct, Prestonsburg, KY 41653-8595 | 2015-09-17 |
| 1720468937 | Vanark Behavioral Management, Inc. | Counselor | 207 W Court St, Prestonsburg, KY 41653-7732 | 2015-06-02 |
| 1326443102 | Ohio Valley Physicians | Counselor | 113 Oak Ridge Ct, Prestonsburg, KY 41653-8607 | 2014-10-23 |
| 1356745509 | Rosanna Mccoy | Counselor | 105 Trimble Chapel Square, Prestonsburg, KY 41653 | 2014-10-17 |
| 1750781142 | Appalachian Health Services Inc | Counselor | 126 Collins Cir Ste 3, Prestonsburg, KY 41653-7913 | 2014-09-04 |
| 1871671230 | George Scott Walker | Counselor | 1416 S Lake Dr, Prestonsburg, KY 41653-1353 | 2006-11-02 |
| 1295347219 | Mikeal Fannin | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-08-20 |
| 1962010389 | Bridgette Ramey | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-07-22 |
| 1699383943 | Kristin Tiedeman | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2020-07-22 |
| Find all providers in PRESTONSBURG | ||||
| City | PRESTONSBURG |
| Zip Code | 41653 |
Please comment or provide details below to improve the information on KIMBERLY 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.