COLLIN MONTGOMERY (NPI# 1578016580) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578016580 |
| Entity Type | Individual |
| Full Name | COLLIN MONTGOMERY |
| Credential | APRN |
| Practice Address |
4301 W Markham St # 508 Little Rock AR 72205-7101 |
| Practice Telephone | 5015266990 |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2016-07-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
A004785 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
A004785 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4301 W MARKHAM ST # 508 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-7101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053426304 | Konstantinos Arnaoutakis | Internal Medicine | 4301 W Markham St # 508, Little Rock, AR 72205-7101 | 2006-08-19 |
| 1740795533 | Renita Kaye Martin | Nurse Practitioner | 4301 W Markham St # 508, Little Rock, AR 72205-7101 | 2017-12-04 |
| 1750811139 | Yadav Pandey | Internal Medicine | 4301 W Markham St # 508, Little Rock, AR 72205-7101 | 2017-06-18 |
| 1669824199 | Prasanth Babu Sadaram | Student in an Organized Health Care Education/Training Program | 4301 W Markham St # 508, Little Rock, AR 72205-7101 | 2016-07-08 |
| 1376958355 | Sravani Gundarlapalli | Internal Medicine | 4301 W Markham St # 508, Little Rock, AR 72205-7101 | 2014-06-27 |
| 1285981498 | Akash Mukherjee | Internal Medicine | 4301 W Markham St # 508, Little Rock, AR 72205-7101 | 2012-08-07 |
| 1689921017 | Sunilkumar Kakadia | Internal Medicine | 4301 W Markham St # 508, Little Rock, AR 72205-7101 | 2012-08-03 |
| 1023364197 | Kathryn Newton Rowley | Nurse Practitioner | 4301 W Markham St # 508, Little Rock, AR 72205-7101 | 2012-07-26 |
| 1033479225 | Irene E Wright | Nurse Practitioner | 4301 W Markham St # 508, Little Rock, AR 72205-7101 | 2012-05-21 |
| 1942567904 | Myoshi Bernadette Jackson-austin | Nurse Practitioner | 4301 W Markham St # 508, Little Rock, AR 72205-7101 | 2012-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902457955 | Debbie Diane Laws | Nurse Practitioner | 2415 N Tyler St, Little Rock, AR 72207-3740 | 2019-09-21 |
| 1780141531 | Lauren Kincannon | Nurse Practitioner | Baptist Health Cardiothoracic Surgery Clinic, Little Rock, AR 72205-7220 | 2019-02-28 |
| 1043787070 | Amanda Ruth Guise-mcdonough | Nurse Practitioner | 5022 Country Club Blvd, Little Rock, AR 72207-4724 | 2018-10-29 |
| 1144493263 | Elizabeth Denise Hebel | Nurse Practitioner | 4300 W Markham St # 111e, Little Rock, AR 72205-4024 | 2008-04-09 |
| 1093722522 | Melissa Elline House | Nurse Practitioner | 4300 West 7th St, Little Rock, AR 72205 | 2006-08-01 |
| 1306830575 | Joanne K Mazander | Nurse Practitioner | 9500 Kanis Rd, Suite 101, Little Rock, AR 72205-6324 | 2005-09-02 |
| 1669079380 | Stephanie Rogers | Nurse Practitioner | 200 River Market Ave Ste 300, Little Rock, AR 72201-1770 | 2020-10-06 |
| 1134685217 | Felicia Mae Johnson | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2019-02-14 |
| 1104301514 | Mary E Hatfield | Nurse Practitioner | 4301 W Markham St # 783, Little Rock, AR 72205-7101 | 2018-10-02 |
| 1457832842 | Marissa Boggs | Nurse Practitioner | 7 Shackleford West Blvd, Little Rock, AR 72211-3886 | 2018-08-24 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
Please comment or provide details below to improve the information on COLLIN 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.