KIMBERLY MONTGOMERY (NPI# 1508254376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508254376 |
| Entity Type | Individual |
| Full Name | KIMBERLY MONTGOMERY |
| Practice Address |
1140 N Hudson Ave Oklahoma City OK 73103-3918 |
| Mailing Address |
4436 Nw 50th St Oklahoma City OK 73112-2212 |
| Practice Telephone | 4058582978 |
| Mailing Telephone | 4058582716 |
| Enumeration Date | 2015-01-02 |
| Last Update Date | 2015-01-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
108843 | OK | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| N/A | N/A | 01 |
| 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 |
| 1306311436 | Kimberly Montgomery | Counselor | 104 S Front Ave, Prestonsburg, KY 41653-1614 | 2018-10-04 |
| 1780180554 | Kimberly Montgomery | Peer Specialist | 1014 Walla Walla Ave, Wenatchee, WA 98801-1523 | 2018-04-02 |
| 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 |
1140 N HUDSON AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73103-3918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043391675 | Josephine Deguzman | Psychiatry & Neurology | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2006-10-18 |
| 1770130239 | La Luz Organization | Voluntary or Charitable | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2019-08-20 |
| 1497209886 | Christopher Gordon Geis | Counselor | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2016-08-15 |
| 1720431794 | Rita Cooper-roberts | Counselor | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2016-07-14 |
| 1427413202 | Melissa Putman | Counselor | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2015-12-22 |
| 1720453863 | Brendan Ryan | Counselor | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2015-12-01 |
| 1528433661 | Teressa Smith | Counselor | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2015-12-01 |
| 1932576915 | Shae Gilbert | Counselor | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2015-08-26 |
| 1528442183 | Kelli Simpson | Registered Nurse | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2015-07-14 |
| 1649652934 | Jordan Fralick | Counselor | 1140 N Hudson Ave, Oklahoma City, OK 73103-3918 | 2015-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1801321369 | Jessica Reed | Community Health Worker | 432 Nw11th St, Oklahoma City, OK 73103 | 2017-04-21 |
| 1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
| 1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
| 1871916700 | Good Shepherd Ministries | Clinic/Center | 222 Nw 12th Street, Oklahoma City, OK 73103 | 2014-01-29 |
| 1275973448 | Christine Donnette Jeffers | Case Manager/Care Coordinator | 433 Nw 25 #10, Oklahoma, OK 73103 | 2013-07-02 |
| 1629327358 | Kelly Rose Whelan | Social Worker | 416 Nw 23rd St, Oklahoma City, OK 73103 | 2012-09-10 |
| 1801160585 | Susan Elizabeth Bigbie | Registered Nurse | 1214 N Hudson, Oklahoma City, OK 73103 | 2012-02-28 |
| 1548533441 | Doris Gayle Poteet | Licensed Practical Nurse | 1214 N. Hudson, Oklahoma, OK 73103 | 2012-02-23 |
| 1538440698 | Wendi J Rollins | Case Manager/Care Coordinator | 600 Nw 23, Suite 108, Oklahoma City, OK 73103 | 2011-09-02 |
| Find all providers in zip 73103 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083197412 | Madison Nicole Richardson | Registered Nurse | 2942 Nw 30th St, Oklahoma City, OK 73112-6906 | 2018-09-12 |
| 1811031016 | Martha Wisehart Hernandez | Registered Nurse | 4900 N Portland Ave, Suite 102, Oklahoma City, OK 73112-6100 | 2007-02-19 |
| 1790272045 | Mark Alan Smith | Registered Nurse | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2018-04-21 |
| 1033619465 | Kelsey Ann Wilson | Registered Nurse | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2018-02-12 |
| 1639681869 | Stephanie Michael Hayes | Registered Nurse | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2017-10-27 |
| 1275058661 | Mariana Guadalupe Piedra | Registered Nurse | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2017-08-07 |
| 1730630468 | Jessica Maris Johnson | Registered Nurse | 2129 Sw 59th St, Oklahoma City, OK 73119-7024 | 2016-10-18 |
| 1265981831 | Scott Allen | Registered Nurse | 2617 General Pershing Blvd, Oklahoma City, OK 73107-6437 | 2016-09-23 |
| 1033518790 | Patricia Fields | Registered Nurse | 4420 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2014-08-19 |
| 1932511201 | Victoria Matonti | Registered Nurse | 4420 N Lincoln Blvd, Oklahoma City, OK 73105-5104 | 2014-05-21 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73103 |
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.