LA SHANDA MONTGOMERY (NPI# 1396147583) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396147583 |
| Entity Type | Individual |
| Full Name | LA SHANDA MONTGOMERY |
| Credential | MSN, RN, FNP-C |
| Practice Address |
980 Hwy N. 287 Mansfield TX 76063 |
| Mailing Address |
980 Hwy N 287 Mansfield TX 76063 |
| Practice Telephone | 8179128565 |
| Enumeration Date | 2014-09-19 |
| Last Update Date | 2017-04-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP126363 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
980 HWY N. 287 |
| City | MANSFIELD |
| State | TX |
| Zip Code | 76063 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316558349 | Lindsey Vandyke, D.o. Pllc | Internal Medicine | 3150 E Broad Street, Ste 100, Mansfield, TX 76063 | 2020-08-13 |
| 1942819867 | Jennifer Que Chau Nguyen | Pharmacist | 980 U.S. 287 Frontage Rd #287, Mansfield, TX 76063 | 2020-07-27 |
| 1194346890 | Ana Maria Gonzalez | Dentist | 1600 Us Highway 287, Suite 102, Mansfield, TX 76063 | 2020-05-04 |
| 1245869080 | Stateserv Medical of Texas, LLC | Durable Medical Equipment & Medical Supplies | 7941 Rodeo Trail, Mansfield, TX 76063 | 2020-04-03 |
| 1649802232 | Mary Puanani Kamai | Nurse Practitioner | 1301 E. Debbie Lane, Suite 102 #1405, Mansfield, TX 76063 | 2020-02-11 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1477190437 | Mel Rockwall LLC | Optometrist | 1701 East Broad Street, Ste 109, Mansfield, TX 76063 | 2019-12-09 |
| 1376185512 | Daniel Max & Marcandrea LLC | Optometrist | 1701 East Broad St., Ste 109, Mansfield, TX 76063 | 2019-10-09 |
| 1861046385 | Lacey Eaton | Counselor | 805 Killian Dr, Mansfield, TX 76063 | 2019-08-01 |
| Find all providers in zip 76063 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952319 | Olufunke Oyindamola Oshoba | Nurse Practitioner | 200 Odyssey Ln, Mansfield, TX 76063-3438 | 2020-11-05 |
| 1457965386 | Brittany A Wheitner | Nurse Practitioner | 1367 Bonnie Dr, Mansfield, OH 44905-3036 | 2020-09-08 |
| 1043828304 | Lester E Cox Medical Centers | Nurse Practitioner | 414 W Ohio St, Mansfield, MO 65704-9300 | 2020-07-22 |
| 1295352565 | Jessica Dawn Ungerer | Nurse Practitioner | 1020 S Trimble Rd, Mansfield, OH 44906-3428 | 2020-07-02 |
| 1598381949 | Rebecca Sagebiel Kendrick | Nurse Practitioner | 322 Carlin Rd, Mansfield, TX 76063-3456 | 2020-06-22 |
| 1770123028 | Gladys Vera Nfodzo | Nurse Practitioner | 901 W. Broad St, Mansfield, TX 76063 | 2020-01-14 |
| 1538709084 | Monica Leigh Phillips | Nurse Practitioner | 252 Matlock Rd Ste 130, Mansfield, TX 76063-4295 | 2020-01-13 |
| 1669011300 | Alexa Smith | Nurse Practitioner | 2800 E Broad St #304, Mansfield, TX 76063 | 2019-12-28 |
| 1154969830 | Patience Dorcas Armstrong | Nurse Practitioner | 1410 Genesis Dr, Mansfield, TX 76063-8654 | 2019-12-13 |
| 1902468218 | Doris Nwamaka Ejimadu | Nurse Practitioner | 305 Regency Pkwy Ste 509, Mansfield, TX 76063-3795 | 2019-07-08 |
| Find all providers in MANSFIELD | ||||
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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.